Organization
MEADOWBROOK OPERATOR LLC
Active
Other names
Meadowbrook Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W. OSTROZYNSKI (ADMINISTRATOR)
(770) 491-9444
Entity
Organization
Contact information
Practice address
4608 LAWRENCEVILLE HWY, TUCKER, GA 30084-2903
(770) 491-9444
(770) 491-8760
Mailing address
4608 LAWRENCEVILLE HWY, TUCKER, GA 30084-2903
(770) 491-9444
(770) 491-8760
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-044-102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141864A
—
GA
Enumeration date
03/27/2008
Last updated
01/23/2015
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