Organization
MONROE HMA LLC
Active
Other names
Walton Regional Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
330 ALCOVY ST, MONROE, GA 30655-2140
(770) 267-8461
Mailing address
330 ALCOVY ST, MONROE, GA 30655-2140
(770) 267-8461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000143448A
—
GA
Enumeration date
06/14/2006
Last updated
01/28/2014
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