Organization
KEYSVILLE LTC MANAGEMENT LLC
Active
Other names
Keysville Nursing Home & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANDREW PARKER (MEMBER)
(678) 480-7564
Entity
Organization
Contact information
Practice address
1005 GA HIGHWAY 88, BLYTHE, GA 30805-3911
(706) 547-2591
(706) 547-2591
Mailing address
1005 GA HIGHWAY 88, BLYTHE, GA 30805-3911
(706) 547-2591
(706) 547-2591
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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