Organization
MONROE NURSING HOME INC
Active
Other names
Park Place Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E KENNETH MURRAY JR. (ADMINISTRATOR)
(770) 267-8677
Entity
Organization
Contact information
Practice address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
(770) 267-7831
Mailing address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
(770) 267-7831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11471218
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002164A
—
GA
Enumeration date
07/30/2006
Last updated
04/02/2015
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