Adk Lumber City Operator, LLC
Organization Active NPI Skilled Nursing Facility · Lumber City, GA
NPI 1821140567 · NPPES record last updated Jan 12, 2011
Key facts
- NPI
- 1821140567
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 11341884 (GA)
- Legal business name
- ADK LUMBER CITY OPERATOR, LLC
- Practice address
- 245 Highway 19
Lumber City, GA 31549-9779 - Phone
- (912) 363-2484
- Fax
- (912) 363-8182
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Carol Groeber
- Title
- VP Mis
- Phone
- (937) 964-8974
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 11341884 | GA | Yes |
Addresses
Primary practice location
245 Highway 19
Lumber City, GA 31549-9779
Mailing address
245 Highway 19
Lumber City, GA 31549-9779
Phone (912) 363-2484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00270256A | Medicaid | GA |
Other names
- Lumber City Nursing & Rehabilitation Center
Other providers in Lumber City, GA
- Brown Drugs, Inc.
- Brown Drugs, Inc.
- Jordan Kolby Brown
- Marquita Latavous Garnes
- Sherry Michelle Holder
All providers in Lumber City, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.