Organization · Type 2 NPI

Petlin Diversified Services LLC

Skilled Nursing Facility · Powder Springs, GA

NPI number 1801056791 Active

Practice location

2817 Lost Lakes Way
Powder Springs, GA 30127-6018

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	RN155427NP (GA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1801056791

Petlin Diversified Services LLC's National Provider Identifier is 1801056791, issued on Jun 13, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Powder Springs, GA. The record was last updated on Jun 13, 2008.