Provider Demographics
NPI:1932657616
Name:JV JEFFERSONVILLE LLC
Entity Type:Organization
Organization Name:JV JEFFERSONVILLE LLC
Other - Org Name:ADVANCED HEALTH AND REHAB OF TWIGGS COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FORRISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-620-7659
Mailing Address - Street 1:113 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31044-3917
Mailing Address - Country:US
Mailing Address - Phone:478-298-6700
Mailing Address - Fax:478-298-6400
Practice Address - Street 1:113 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:31044-3917
Practice Address - Country:US
Practice Address - Phone:478-298-6700
Practice Address - Fax:478-298-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility