| Organization Name: | LILLIAN G. CARTER NURSING CENTER LLC |
| NPI Number: | 1003943747 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM SHEFFIELD (VP OF FINANCIAL REPORTING) |
| Mailing Address: | 225 Hospital St Plains |
| State: | GA US |
| Postal Code: | 317805544 |
| Phone Number: | 2298247796 |
| Fax Number: | 2298247800 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 1-129-1714 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |