MEDICARE: SELECT NURSING CO LIMITED LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	310400000X	Assisted Living Facility
4	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1033838768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT NURSING CO LIMITED LTD

Provider Business Mailing Address
First Line	:	4315 MARJORIE RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-6538
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4315 MARJORIE RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-6538
Country	:	US
Telephone Number	:	678-599-4051
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KEEGAN ALEXANDER
Credential	:	LPN
Telephone Number	:	404-441-2394

Provider Enumeration Date	:	08/25/2022
Last Update Date	:	08/25/2022

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Directions to “SELECT NURSING CO LIMITED LTD ” Practice Location

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