Organization
COLLEGE HILL-LTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAREN DOUSOTN (MEMBER/CFO)
(678) 522-2436
Entity
Organization
Contact information
Practice address
5005 EAST 21ST STREET NORTH, WICHITA, KS 67208
(678) 522-2436
Mailing address
10945 STATE BRIDGE ROAD, SUITE 401-470, ALPHARETTA, GA 30022
(678) 522-2436
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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