Organization
LAVENDER MOUNTAIN SENIOR LIVING, INC.
Active
Other names
Magnolia Place Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK LANCASTER ADMINISTRATOR (ADMINISTRATOR)
(170) 672-8360
Entity
Organization
Contact information
Practice address
500 EAGLE LAKE TRL, ROME, GA 30165-2246
(706) 728-3600
Mailing address
600 EAGLE LAKE TRL, ROME, GA 30165-2207
(706) 728-3600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
07/06/2021
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