Organization
SSC AUSTELL OPERATING COMPANY LLC
Active
Other names
Anderson Mill Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
2130 ANDERSON MILL RD, AUSTELL, GA 30106-1806
(770) 941-8813
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-033-1838
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140379A
—
GA
Enumeration date
04/02/2007
Last updated
11/11/2020
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