PETLIN DIVERSIFIED SERVICES LLC

Skilled Nursing Facility

Active Organization
NPI: 1801056791

Practice Address

2817 LOST LAKES WAY
Powder Springs, GA 30127

Phone: (770) 595-8934

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes RN155427NP (GA)

Frequently Asked Questions

NPI 1801056791 is the National Provider Identifier for PETLIN DIVERSIFIED SERVICES LLC, a Skilled Nursing Facility provider located in Powder Springs, GA. This NPI was enumerated on June 13, 2008.

Quick Facts

NPI
1801056791
Type
Organization
Enumerated
Jun 13, 2008
Last Updated
Jun 13, 2008

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