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Contact Information

THE PLACE AT POOLER LLC
508 S ROGERS STREET
POOLER, GA31322
 Phone: 912-748-6840
 Fax: 912-748-5418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for THE PLACE AT POOLER LLC

NPI # 1427017920
LBN Legal business name THE PLACE AT POOLER LLC
Authorized official KIMNIE BENNETT - (NURSING HOME ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
GA Medicaid 002387418
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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