Organization
ELBERTA HEALTHCARE, LLC
Active
Other names
Southern Pines
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH L. MEADE (OPERATIONS)
(478) 328-3800
Entity
Organization
Contact information
Practice address
801 ELBERTA RD, WARNER ROBINS, GA 31093-1735
(478) 923-3146
(478) 922-9145
Mailing address
801 ELBERTA RD, WARNER ROBINS, GA 31093-1735
(478) 923-3146
(478) 922-9145
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-076-1674
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140918A
—
GA
Enumeration date
10/19/2005
Last updated
01/13/2021
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