MEDICARE: TWIN VIEW OPERATOR LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	1-053-1507	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588836738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWIN VIEW OPERATOR LLC

Provider Business Mailing Address
First Line	:	211 MATHIS AVE - BOX 1460
Second Line	:
City	:	TWIN CITY
State	:	GA
Zip	:	30471-1460
Country	:	US
Telephone Number	:	478-763-2141
Fax Number	:	478-763-3759

Provider Business Practice Location Address
First Line	:	211 MATHIS AVE - BOX 1460
Second Line	:
City	:	TWIN CITY
State	:	GA
Zip	:	30471-4232
Country	:	US
Telephone Number	:	478-763-2141
Fax Number	:	478-763-3759

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AMY RUSHING ROGERS
Credential	:
Telephone Number	:	478-763-2141

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	09/16/2015

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Directions to “TWIN VIEW OPERATOR LLC ” Practice Location

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