C.r. of Lagrange, LLC

NPI #1831583830 in Lagrange, Georgia

Provider Information

NPI Number
1831583830
Entity Type
Organization
Organization Name
C.r. of Lagrange, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 27, 2015
Last Updated
Mar 27, 2015

Practice Location

Address
2111 W POINT RD
State
Georgia
ZIP Code
30240-4047
Phone
(706) 812-9293

Authorized Official

Name
MICHAEL E WINGET SR.
Title
MANAGER
Phone
(478) 994-3669

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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