Organization
LENORA CHURCH ROAD PROPERTY - SNF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN DOUSTON (CFO)
(404) 282-4755
Entity
Organization
Contact information
Practice address
3000 LENORA CHURCH RD, SNELLVILLE, GA 30078-3622
(770) 972-2040
Mailing address
3000 OLD ALABAMA RD STE 119-403, ALPHARETTA, GA 30022-5860
(404) 282-4755
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
12/21/2023
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