Organization
TARA OPERATOR LLC
Active
Other names
Thunderbolt Transitional Care & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MORRISON (MANAGER)
(912) 691-2512
Entity
Organization
Contact information
Practice address
3223 FALLIGANT AVE, THUNDERBOLT, GA 31404-5339
(912) 691-2512
(912) 355-7979
Mailing address
454 SATELLITE BLVD NW STE 100, SUWANEE, GA 30024-7191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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