Healthcare Provider Details
I. General information
NPI: 1700747524
Provider Name (Legal Business Name): THE RESERVE AT APPLING OF JOURNEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6698 WASHINGTON RD
APPLING GA
30802-4120
US
IV. Provider business mailing address
6698 WASHINGTON RD
APPLING GA
30802-4120
US
V. Phone/Fax
- Phone: 706-541-0462
- Fax:
- Phone: 706-541-0462
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BERNARD
J
MCGUINNESS
III
Title or Position: MEMBER OF LLC
Credential:
Phone: 706-541-0462