Organization
FAYETTEVILLE GA OPCO LLC
Active
Other names
Condor Health Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
BATYA GORELICK (VP OF ADMIN SERVICES)
(770) 461-2928
Entity
Organization
Contact information
Practice address
110 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214-1500
(770) 461-2928
Mailing address
440 SYLVAN AVE STE 240, ENGLEWOOD CLIFFS, NJ 07632-2700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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