PETLIN DIVERSIFIED SERVICES LLC

POWDER SPRINGS, GA
NPI1801056791
Entity TypeOrganization
Authorized ContactLINDA ANGELA MBAH
CEO
770-595-8934
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: GA  RN155427NP)
Enumeration Date2008-06-13
Last Update Date2008-06-13
Business Address
PETLIN DIVERSIFIED SERVICES LLC
2817 LOST LAKES WAY
POWDER SPRINGS, GA 30127-6018
Phone number: 770-595-8934
Mailing Address
PETLIN DIVERSIFIED SERVICES LLC
2817 LOST LAKES WAY
POWDER SPRINGS, GA 30127-6018
Phone number: 770-595-8934