Coliseum Drive Associates LLC

NPI #1790252427 in Macon, Georgia

Provider Information

NPI Number
1790252427
Entity Type
Organization
Organization Name
Coliseum Drive Associates LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 31, 2018
Last Updated
Dec 21, 2023

Practice Location

Address
505 COLISEUM DR
City
Macon
State
Georgia
ZIP Code
31217-3840
Phone
(678) 987-3819

Authorized Official

Name
DAREN DOUSTON
Title
CHIEF FINANCIAL OFFICER
Phone
(404) 282-4755

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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