Organization
GASTONE MOUNTAIN SNF LLC
Active
Other names
Rosemont At Stone Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD PHILLIP STOLL (MBR)
(917) 836-0436
Entity
Organization
Contact information
Practice address
5160 SPRINGVIEW AVE, STONE MOUNTAIN, GA 30083-1616
(770) 498-4144
Mailing address
78 BIRCHWOOD DR, HUNTINGTN STA, NY 11746-3922
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
01/19/2022
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