Organization
TMC/VILLA RICA HOSPITAL, INC
Active
Parent organization
TMC/VILLA RICA HOSPITAL, INC.
Other names
Willowbrooke at Tanner
Organization subpart
Yes
Provider details
NPI number
Legal business name
TMC/VILLA RICA HOSPITAL, INC.
Authorized official
MR. LEE C. SHERSETH (CFO)
(770) 836-9697
Entity
Organization
Contact information
Practice address
601 DALLAS HWY, VILLA RICA, GA 30180-1202
(770) 456-3000
(770) 456-3390
Mailing address
PO BOX 638, VILLA RICA, GA 30180-0638
(770) 836-9666
(770) 456-3390
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002032A
—
GA
Enumeration date
03/03/2009
Last updated
07/28/2010
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