Organization
GEORGIA REGIONAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALI FONTAINE (CEO)
(404) 914-3197
Entity
Organization
Contact information
Practice address
3731 LAKE PASS LN, SUWANEE, GA 30024-8422
(404) 914-3197
Mailing address
PO BOX 465483, LAWRENCEVILLE, GA 30042-5483
(404) 914-3197
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
About Stedi
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