Organization
CHC - CHESTNUT RIDGE NURSING & REHAB CTR, LLC
Active
Other names
Chestnut Ridge Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL STARER (AUTHORIZED REPRESENTATIVE)
(914) 390-4300
Entity
Organization
Contact information
Practice address
125 SAMARITAN DR, CUMMING, GA 30040-2354
(770) 889-0120
(770) 887-5626
Mailing address
125 SAMARITAN DR, CUMMING, GA 30040-2354
(770) 889-0120
(770) 887-5626
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10581759
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00228049A
—
GA
Enumeration date
06/22/2005
Last updated
04/17/2014
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