Organization
ADK POWDER SPRINGS OPERATOR, LLC
Active
Other names
Powder Springs Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RUBENSTEIN (COO)
(678) 869-5116
Entity
Organization
Contact information
Practice address
3460 POWDER SPRINGS RD, POWDER SPRINGS, GA 30127-2322
(770) 439-9199
(770) 439-0454
Mailing address
3460 POWDER SPRINGS RD, POWDER SPRINGS, GA 30127-2322
(770) 439-9199
(770) 439-0454
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10331883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00530824A
—
GA
Enumeration date
01/16/2007
Last updated
07/29/2014
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