Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Camellia Gardens of Life Care
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
804 S BROAD ST, THOMASVILLE, GA 31792-6111
(229) 226-0076
(229) 228-9798
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-136-1445
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00366341A
—
GA
Enumeration date
05/17/2006
Last updated
09/15/2021
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