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Contact Information

GEORGIAN GARDENS OPCO, LLC
1 GEORGIAN GARDENS DR
POTOSI, MO63664-1436
 Phone: 573-438-6261
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for GEORGIAN GARDENS OPCO, LLC

NPI Number 1710458864
LBN Legal business name GEORGIAN GARDENS OPCO, LLC
Authorized official SAM STERN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2018
Last updated 12/16/2018 - About 7 years ago
Identifiers n/a
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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