Organization
SAS - MORAN LAKE, INC.
Active
Other names
Evergreen Health & Rehablitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN D FORRISTER (VC/COO)
(770) 736-3028
Entity
Organization
Contact information
Practice address
139 MORAN LAKE RD NE, ROME, GA 30161-7767
(770) 736-3028
Mailing address
3100 FIVE FORKS TRICKUM RD SW, SUITE 202, LILBURN, GA 30047-1890
(770) 736-3028
(770) 736-3345
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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