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Organization

CANDLER COUNTY LTC LLC

Active
Other names
Azalea Health and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
LYNIS HOWELL (ADMINISTRATOR)
(912) 685-5734
Entity
Organization

Contact information

Practice address
300 CEDAR ST, METTER, GA 30439-4040
(912) 685-5734
(912) 685-3357
Mailing address
PO BOX 356, METTER, GA 30439-0356
(912) 685-5734
(912) 685-3357

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-021-1900
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000141963A
GA
Enumeration date
07/09/2006
Last updated
02/06/2013
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