Cplace Fairburn Snf LLC

NPI #1861923740 in Fairburn, Georgia

Provider Information

NPI Number
1861923740
Entity Type
Organization
Organization Name
Cplace Fairburn Snf LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 23, 2017
Last Updated
Mar 23, 2017

Practice Location

Address
178 W CAMPBELLTON ST
State
Georgia
ZIP Code
30213-1219
Phone
(770) 964-1320

Authorized Official

Name
VICTOR M MARCOS
Title
CFO
Phone
(917) 209-1431

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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