Organization
GREEN ACRES CARE CENTER LLC
Active
Other names
Twin Fountains
Organization subpart
No
Provider details
NPI number
Authorized official
ZACK ROSENBERG (CEO)
(732) 335-6951
Entity
Organization
Contact information
Practice address
1400 HOGANSVILLE RD, LAGRANGE, GA 30241-1422
(706) 803-7390
Mailing address
1400 HOGANSVILLE RD, LAGRANGE, GA 30241-1422
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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