Organization
TUCKER OPERATING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FEIST (MEMBER OF LLC)
(631) 525-6693
Entity
Organization
Contact information
Practice address
2165 IDLEWOOD RD, TUCKER, GA 30084-4816
(770) 934-3172
Mailing address
2165 IDLEWOOD RD, TUCKER, GA 30084-4816
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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