Organization
SUMMERS RETIREMENT, LLC
Active
Other names
The Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L MEADE (MEMBER)
(478) 328-3800
Entity
Organization
Contact information
Practice address
200 S KIMBERLY RD, WARNER ROBINS, GA 31088-8721
(478) 293-4900
(478) 293-4892
Mailing address
200 S KIMBERLY RD, WARNER ROBINS, GA 31088-8721
(478) 293-4900
(478) 293-4892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-076-2068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142381A
—
GA
Enumeration date
06/02/2015
Last updated
07/24/2015
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