NPI 1053463786

Adk Jeffersonville Operator, LLC

Organisation Skilled Nursing Facility Jeffersonville, GA

Practice location

Address: 113 Spring Valley Drive, Jeffersonville, GA 31044-9301
Phone: (478) 945-2520
Fax: (478) 945-2525

Authorised official

Name: Carol Groeber
Title: Vp Mis
Phone: (937) 964-8974

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 11431882 (GA)

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1053463786
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 12 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.