Organization
SUMMERHILL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C. DAVIS JR. (PRESIDENT)
(478) 988-1294
Entity
Organization
Contact information
Practice address
500 STANLEY ST, PERRY, GA 31069-3145
(478) 987-3100
(478) 987-0664
Mailing address
1211 MACON RD, STE D, PERRY, GA 31069-2679
(478) 988-1294
(478) 988-1193
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-076-1106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142139A
—
GA
05
—
000142139B
—
GA
Enumeration date
10/17/2005
Last updated
04/13/2012
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