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Organization

TMC/VILLA RICA HOSPITAL, INC

Active
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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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