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Organization

LIVING CENTERS-SOUTHEAST, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEVIN M EHRLICH (SVP)
(678) 443-6772
Entity
Organization

Contact information

Practice address
ONE RAVINIA DRIVE, SUITE 1250, ATLANTA, GA 30346
(678) 443-6772
(678) 443-7013
Mailing address
ONE RAVINIA DRIVE, SUITE 1250, ATLANTA, GA 30346
(678) 443-6772
(678) 443-7013

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF535999
VA
314000000X
Skilled Nursing Facility
NH2516
VA

Other

Enumeration date
08/08/2006
Last updated
09/11/2025
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