Provider Demographics
NPI:1033689336
Name:POST ACUTE CARE LEADERS LLC
Entity Type:Organization
Organization Name:POST ACUTE CARE LEADERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSTISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-593-3332
Mailing Address - Street 1:925 N POINT PKWY STE 425
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5200
Mailing Address - Country:US
Mailing Address - Phone:678-593-3332
Mailing Address - Fax:678-868-1584
Practice Address - Street 1:156 PINE KNOLL DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-2451
Practice Address - Country:US
Practice Address - Phone:678-593-3332
Practice Address - Fax:678-868-1584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty