Organization
THE PLACE AT POOLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMNIE CHAN BENNETT NHA (NURSING HOME ADMINISTRATOR)
(912) 748-6840
Entity
Organization
Contact information
Practice address
508 S ROGERS STREET, POOLER, GA 31322
(912) 748-6840
(912) 748-5418
Mailing address
508 S ROGERS STREET, POOLER, GA 31322
(912) 748-6840
(912) 748-5418
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002387418
—
GA
Enumeration date
03/22/2006
Last updated
07/21/2022
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