Organization
TUCKER HEALTH CARE LLC
Active
Other names
Meadowbrook Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH BROGDON (MANAGER)
(770) 650-8773
Entity
Organization
Contact information
Practice address
4608 LAWRENCEVILLE HWY, TUCKER, GA 30084-2903
(770) 491-9444
(770) 491-8760
Mailing address
4608 LAWRENCEVILLE HWY, TUCKER, GA 30084-2903
(770) 491-9444
(770) 491-8760
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141864A
—
GA
Enumeration date
07/12/2006
Last updated
09/29/2008
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