Green Street Nh LLC

NPI #1497195051 in Thomaston, Georgia

Provider Information

NPI Number
1497195051
Entity Type
Organization
Organization Name
Green Street Nh LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 27, 2013
Last Updated
Jun 27, 2013

Practice Location

Address
1011 S GREEN ST
State
Georgia
ZIP Code
30286-4643
Phone
(706) 647-6693

Authorized Official

Name
NANCY SHMAYS
Title
SECRETARY
Phone
(770) 650-7086

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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