<Unavail>

LBN: Adk Jeffersonville Operator, Llc
<Unavail> is an health care organization with primary practice located at 113 Spring Valley Drive , Jeffersonville GA 31044-9301. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Adk Jeffersonville Operator, Llc can be contacted via phone (478) 945-2520, or through Groeber, Carol via phone (937) 964-8974.

Contact Information

Primary practice address
113 Spring Valley Drive Jeffersonville GA 31044-9301
Phone: (478) 945-2520
Fax: (478) 945-2525
Website:
Map and Directions
Authorized official contact:
Name: Groeber, Carol
Phone: (937) 964-8974

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 11431882 Georgia

Profile Details

NPI number 1053463786
LBN Legal business name Adk Jeffersonville Operator, Llc
DBA Doing business as <Unavail>
Authorized official Groeber, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jan 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053463786 NPPES
Georgia MEDICAID 00282235A

Popular Providers