Organization
ADK OCEANSIDE OPERATOR, LLC
Active
Other names
Oceanside Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GROEBER (VICE PRESIDENT/MIS)
(937) 964-8974
Entity
Organization
Contact information
Practice address
7 ROSEWOOD AVE, TYBEE ISLAND, GA 31328-9435
(912) 786-4511
(912) 786-7414
Mailing address
7 ROSEWOOD AVE, TYBEE ISLAND, GA 31328-9435
(912) 786-4511
(912) 786-7414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-0251696
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142282A
—
GA
Enumeration date
10/23/2006
Last updated
06/27/2011
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