Organization
LAUREL BAYE HEALTHCARE OF LAKE LANIER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYLIE S GRIECO (CONTROLLER)
(843) 216-6800
Entity
Organization
Contact information
Practice address
2451 PEACHTREE INDUSTRIAL BLVD, BUFORD, GA 30518-2418
(770) 614-2800
Mailing address
2451 PEACHTREE INDUSTRIAL BLVD, BUFORD, GA 30518-2418
(770) 614-2800
(770) 932-5754
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10671659
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140456A
—
GA
Enumeration date
01/09/2008
Last updated
07/21/2009
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