Organization
LYNN HAVEN NURSING HOME LLC
Active
Other names
Lynn Haven Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MILES ALLEN (ADMINISTRATOR)
(478) 986-1377
Entity
Organization
Contact information
Practice address
747 MONTICELLO HWY, GRAY, GA 31032-3103
(478) 986-3196
(478) 986-1377
Mailing address
747 MONTICELLO HWY, GRAY, GA 31032-3103
(478) 986-3196
(478) 986-1377
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-084-1786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00083036A
—
GA
01
—
51003337 001
BCBS
—
Enumeration date
07/01/2006
Last updated
08/19/2024
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