MEDICARE: ADK LUMBER CITY 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	11341884	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	:	1821140567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADK LUMBER CITY OPERATOR, LLC

Provider Business Mailing Address
First Line	:	245 HIGHWAY 19
Second Line	:
City	:	LUMBER CITY
State	:	GA
Zip	:	31549-9779
Country	:	US
Telephone Number	:	912-363-2484
Fax Number	:	912-363-8182

Provider Business Practice Location Address
First Line	:	245 HIGHWAY 19
Second Line	:
City	:	LUMBER CITY
State	:	GA
Zip	:	31549-9779
Country	:	US
Telephone Number	:	912-363-2484
Fax Number	:	912-363-8182

Authorized Official
Title or Position	:	VP MIS
Name	:	CAROL GROEBER
Credential	:
Telephone Number	:	937-964-8974

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	01/12/2011

Similar Medicare Providers

1558354787 — MUNSAYAC MEDICAL CLINIC
Practice Location Address:

308 MAIN ST
LUMBER CITY, GA
31549-9752

Practice Phone: 912-363-4389
Practice Fax: 912-363-1377

1497822076 — BROWN DRUGS, INC.
Practice Location Address:

3316 E GOLDEN ISLES PARKWAY
LUMBER CITY, GA
31549

Practice Phone: 912-363-4979
Practice Fax: 912-363-8453

1760517957 — MR. LAWRENCE ALBERT SMITH, JR RPH
Practice Location Address:

LUMBER CITY DRUGS, INC , HWY 341 SOUTH
LUMBER CITY, GA
31549-0128

Practice Phone: 912-363-4979
Practice Fax: 912-363-8453

1518215854 — LOWER OCONEE COMMUNITY HOSPITAL
Practice Location Address:

22 MAIN ST
LUMBER CITY, GA
31549-0519

Practice Phone: 912-363-4389
Practice Fax: 912-363-1377

1811335946 — MS. SHERRY MICHELLE HOLDER COTA/L
Practice Location Address:

93 HIGHWAY 19
LUMBER CITY, GA
31549-2556

Practice Phone: 912-363-2484
Practice Fax:

1619378593 — LC SNF, LLC
Practice Location Address:

93 HIGHWAY 19
LUMBER CITY, GA
31549-2556

Practice Phone: 912-363-2484
Practice Fax: 912-363-8182

Directions to “ADK LUMBER CITY OPERATOR, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.