Provider Demographics
NPI:1861944019
Name:LANDMARK HOSPITAL OF SAVANNAH LLC
Entity type:Organization
Organization Name:LANDMARK HOSPITAL OF SAVANNAH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CBOD
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-331-8437
Mailing Address - Street 1:800 E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4710
Mailing Address - Country:US
Mailing Address - Phone:912-298-1000
Mailing Address - Fax:912-298-1054
Practice Address - Street 1:800 E 68TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4710
Practice Address - Country:US
Practice Address - Phone:912-298-1000
Practice Address - Fax:912-298-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility