Providence SNF Operator LLC
Skilled Nursing Facility · Thomaston, GA
Practice location
1011 S Green StThomaston, GA 30286-4643
- Phone
- (706) 647-6693
- Fax
- (706) 648-9255
NPI record
- NPI
- 1114448271
- Entity type
- Organization (Type 2)
- Enumeration date
- June 29, 2017
- Last updated
- July 21, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
— | GA |
Authorized official
- Name
- Bruce E Wertheim
- Title
- Manager
- Phone
- (813) 347-9888
About Providence SNF Operator LLC
Providence SNF Operator LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1011 S Green St, Thomaston, GA 30286-4643. The NPI number 1114448271 was assigned on June 29, 2017 and the record was last updated on July 21, 2022.
The authorized official for this organization is Bruce E Wertheim, Manager.
Frequently asked questions
What is the NPI number of Providence SNF Operator LLC?
The NPI number is 1114448271.
What is the phone number of Providence SNF Operator LLC?
The phone number listed for the practice location is (706) 647-6693.
Where is Providence SNF Operator LLC located?
1011 S Green St, Thomaston, GA 30286-4643.
What is the taxonomy code for Providence SNF Operator LLC?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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