Organization
LANIER HEALTH SERVICES, INC
Active
Other names
Lakeland Villa & Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL W. GINTY (ADMINISTRATOR)
(229) 482-8402
Entity
Organization
Contact information
Practice address
852 W THIGPEN AVE, LAKELAND, GA 31635-1006
(229) 482-3110
(229) 482-8542
Mailing address
852 W THIGPEN AVE, LAKELAND, GA 31635-1006
(229) 482-3110
(229) 482-8542
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
10861322
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00141732A
—
GA
Enumeration date
05/27/2006
Last updated
08/22/2020
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