Organization
PARK SPRINGS, LLC
Active
Other names
PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN W. ISAKSON (MANAGER)
(404) 932-6552
Entity
Organization
Contact information
Practice address
5610 NEW BURMUDA RD, STONE MOUNTAIN, GA 30087
(770) 879-4330
(770) 879-7330
Mailing address
500 SPRINGHOUSE CIRCLE, STONE MOUNTAIN, GA 30087-6718
(770) 879-4330
(770) 879-7330
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
044-03-031-1
GA
314000000X
Skilled Nursing Facility
Primary
1-044-1825
GA
Other
Enumeration date
11/10/2005
Last updated
05/02/2019
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