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Organization

ADK JEFFERSONVILLE OPERATOR, LLC

Active
Other names
Jeffersonville Nursing & Rehab Center
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL GROEBER (VP MIS)
(937) 964-8974
Entity
Organization

Contact information

Practice address
113 SPRING VALLEY DRIVE, JEFFERSONVILLE, GA 31044-9301
(478) 945-2520
(478) 945-2525
Mailing address
113 SPRING VALLEY DRIVE, JEFFERSONVILLE, GA 31044-9301
(478) 945-2520
(478) 945-2525

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11431882
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00282235A
GA
Enumeration date
01/16/2007
Last updated
01/12/2011
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