Provider Demographics
NPI:1003943747
Name:LILLIAN G. CARTER NURSING CENTER LLC
Entity type:Organization
Organization Name:LILLIAN G. CARTER NURSING CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCIAL REPORTING
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-621-2100
Mailing Address - Street 1:225 HOSPITAL ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:GA
Mailing Address - Zip Code:31780-5544
Mailing Address - Country:US
Mailing Address - Phone:229-824-7796
Mailing Address - Fax:229-824-7800
Practice Address - Street 1:225 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:GA
Practice Address - Zip Code:31780-5544
Practice Address - Country:US
Practice Address - Phone:229-824-7796
Practice Address - Fax:229-824-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-129-1714385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care