Organization
ADK BONTERRA PARKVIEW, LLC
Active
Other names
Bonterra Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL J GROEBER (VICE PRESIDENT MIS)
(937) 964-8974
Entity
Organization
Contact information
Practice address
2801 FELTON DR, EAST POINT, GA 30344-3605
(404) 767-7591
(404) 765-0547
Mailing address
2801 FELTON DR, EAST POINT, GA 30344-3605
(404) 767-7591
(404) 765-0547
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140357A
—
GA
Enumeration date
10/18/2006
Last updated
03/16/2011
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