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NPI Code Detail

MEDICARE: LANDMARK HOSPITAL OF SAVANNAH LLC

MEDICARE: LANDMARK HOSPITAL OF SAVANNAH 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
1314000000XSkilled Nursing FacilityGA

General Provider Information

NPI Number : 1861944019
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDMARK HOSPITAL OF SAVANNAH LLC
Provider Business Mailing Address
First Line : PO BOX 267
Second Line :
City : JACKSON
State : MO
Zip : 63755-0267
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 68TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4710
Country : US
Telephone Number : 912-298-1000
Fax Number : 912-298-1054
Authorized Official
Title or Position : CFO
Name : TRACY LYNNE LAROSE
Credential :
Telephone Number : 573-331-8412
Provider Enumeration Date : 11/03/2016
Last Update Date : 03/09/2026

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Directions to “LANDMARK HOSPITAL OF SAVANNAH LLC ” Practice Location

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