Organization
FORUM GROUP AT WILDWOOD PARK NURSING & REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE DALYN HOUSER JD (MANAGER)
(706) 291-8600
Entity
Organization
Contact information
Practice address
2611 WILDWOOD DR, BRUNSWICK, GA 31520-4250
(912) 264-1434
(912) 466-9604
Mailing address
1700 WATER PL SE, SUITE 206, ATLANTA, GA 30339-2006
(678) 213-2700
(678) 213-2705
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10631819
GA
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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