Organization
OPTIMUM HEALTH SKILLS NURSING SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERLEY JUSSOME RN (OWNER)
(678) 914-1300
Entity
Organization
Contact information
Practice address
1428 AVINGTON GLEN DR, LAWRENCEVILLE, GA 30045-3541
(678) 914-1300
(501) 641-2706
Mailing address
1428 AVINGTON GLEN DR, LAWRENCEVILLE, GA 30045-3541
(678) 914-1300
(501) 641-2706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2011017922
GA
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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