Organization
CHC-PINE KNOLL NURSING & REHAB CTR, LLC
Active
Other names
Pine Knoll Nursing & Rehabiliation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX PALEY (COO)
(914) 390-4363
Entity
Organization
Contact information
Practice address
156 PINE KNOLL DR, CARROLLTON, GA 30117-2451
(770) 832-8243
(770) 832-8221
Mailing address
156 PINE KNOLL DR, CARROLLTON, GA 30117-2451
(770) 832-8243
(770) 832-8221
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10221757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142458A
—
GA
Enumeration date
06/23/2005
Last updated
03/21/2014
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