Organization
DELMAR GARDENS OF GWINNETT OPERATING, LLC
Active
Other names
Delmar Gardens of Gwinnett
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL LEE HARTMANN (TREASURER)
(636) 733-7000
Entity
Organization
Contact information
Practice address
3100 CLUB DR, LAWRENCEVILLE, GA 30044-2591
(770) 923-3100
(770) 381-5422
Mailing address
14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
(636) 733-7000
(636) 733-7010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-067-1829
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156912785A
—
GA
Enumeration date
09/20/2005
Last updated
01/12/2016
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