Organization
ADK BONTERRA PARKVIEW, LLC
Active
Other names
Legacy Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RUBENSTEIN (COO)
(678) 869-5116
Entity
Organization
Contact information
Practice address
460 AUBURN AVE NE, ATLANTA, GA 30312-1504
(404) 523-1613
(404) 681-4536
Mailing address
460 AUBURN AVE NE, ATLANTA, GA 30312-1504
(404) 523-1613
(404) 681-4536
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005657LGB
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141831A
—
GA
Enumeration date
10/18/2006
Last updated
04/24/2014
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