Roberta Operator Llc in Roberta - Skilled Nursing Facility

Roberta Operator Llc - NPI 1770755951

Roberta Operator Llc is a Skilled Nursing Facility in Roberta, Georgia. Roberta Operator Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Roberta Operator Llc is 1770755951. The last update date is 2015-01-23.

Roberta Operator Llc's current location address is 420 Myrtle Dr, Roberta, Georgia. You can contact this provider via phone number 4788363101 and fax number 4788362700. The mailing address for Roberta Operator Llc is 420 Myrtle Dr, Roberta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Roberta Operator Llc
Address 420 Myrtle Dr, Roberta, Georgia
Phone Number 4788363101
Fax Number 4788362700
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Thornton David
Telephone Number 4788363101

NPI Number Detail

NPI Number 1770755951
Provider Enumeration Date 2008-03-28
Last Updated Date 2015-01-23

Provider Mailing Address Detail

Address 420 Myrtle Dr
City Roberta
State Georgia (GA)
Post Code 310789752
Phone Number 4788363101
Fax Number 4788362700

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 1-039-1080
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000142777A GA --

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FAQs about Roberta Operator Llc

What is the unique identification code assigned to Roberta Operator Llc by the Centers for Medicare & Medicaid Services?

The Roberta Operator Llc has been issued the NPI (National Provider Identifier) 1770755951. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Roberta Operator Llc is physically located?

The Roberta Operator Llc is physically situated at the following address: 420 Myrtle Dr, Roberta, GA, 310789752.

What is Roberta Operator Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Roberta Operator Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

When was the Roberta Operator Llc's 1770755951 issued?

The Roberta Operator Llc's 1770755951 was issued on 2008-03-28.

As of what date were the details related to Roberta Operator Llc most recently updated or revised?

The information pertaining to Roberta Operator Llc, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-23.

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