Organization
ARROWHEAD OPERATOR LLC
Active
Other names
Arrowhead Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KIMNIE CHAN BENNETT (ADMINISTRATOR)
(770) 478-3013
Entity
Organization
Contact information
Practice address
239 ARROWHEAD BLVD, JONESBORO, GA 30236-1101
(770) 478-3013
(770) 478-3446
Mailing address
239 ARROWHEAD BLVD, JONESBORO, GA 30236-1101
(770) 478-3013
(770) 478-3446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-031-1409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000143162A
—
GA
Enumeration date
03/28/2008
Last updated
01/23/2015
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