Tara Operator LLC
NPI #1154910594 in Thunderbolt, Georgia
Provider Information
- NPI Number
- 1154910594
- Entity Type
- Organization
- Organization Name
- Tara Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 11, 2021
- Last Updated
- Jan 11, 2021
Practice Location
- Address
- 3223 FALLIGANT AVE
- City
- Thunderbolt
- State
- Georgia
- ZIP Code
- 31404-5339
- Phone
- (912) 691-2512
Authorized Official
- Name
- BRENT MORRISON
- Title
- MANAGER
- Phone
- (912) 691-2512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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