Organization
THI OF GEORGIA AT SHAMROCK, LLC
Active
Other names
Shamrock Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY BARRENTINE (PRESIDENT)
(478) 272-1133
Entity
Organization
Contact information
Practice address
1634 TELFAIR ST, DUBLIN, GA 31021-3115
(478) 272-1133
(478) 275-0548
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00141281A
—
TX
Enumeration date
10/07/2006
Last updated
04/08/2008
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