Organization
BRENTWOOD NURSING LLC
Active
Other names
Pleasant View Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH BROGDON (MANAGER)
(770) 650-8773
Entity
Organization
Contact information
Practice address
475 WASHINGTON ST, METTER, GA 30439-3809
(912) 685-2168
(912) 685-3939
Mailing address
1145 HEMBREE RD, ROSWELL, GA 30076-1122
(770) 650-8773
(770) 650-9732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10211656
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142546A
—
GA
Enumeration date
04/19/2006
Last updated
09/29/2008
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