Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mt Kenn Nursing, LLC

Organization Skilled Nursing Facility · NPI 1053366336

Mt Kenn Nursing, LLC is a Skilled Nursing Facility in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1480 Sandtown Rd
Marietta, GA 30008-3821
Phone: (770) 442-1755
Fax: (770) 442-8784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1-033-1982 (GA)
Skilled Nursing Facility Taxonomy 314000000X · Licence 05-47025 (GA)

Record details

NPI number1053366336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boyd Gentry — Presidnet And Ceo · (937) 964-8974
Other names Autumn Breeze Healthcare Center
NPI enumeratedMay 24, 2006
Last updated in NPPESJuly 25, 2011
Mailing address5057 Troy Road, Springfield, OH 45502-8150

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