Organization
ANSLEY PARK HEALTH AND REHABILITATION LLC
Active
Other names
Ansley Park Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM DEBERRY (ADMINISTRATOR)
(770) 400-8000
Entity
Organization
Contact information
Practice address
450 NEWNAN LAKES BLVD, NEWNAN, GA 30263-6342
(770) 400-8000
Mailing address
450 NEWNAN LAKES BLVD, NEWNAN, GA 30263-6342
(770) 400-8000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-038-2013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136416A
—
GA
Enumeration date
02/12/2013
Last updated
09/28/2023
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