OrganizationActive
Lake Oconee Assisted Living Home
NPI 1114121845 · Assisted Living Facility (Behavioral Disturbances) · Greensboro, GA
Provider details
- NPI number
- 1114121845
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lillie Tripp, Owner(706) 453-9055
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
105 Wilson St
Greensboro, GA 30642-1426
Phone: (706) 453-7155
Fax: (706) 453-4156
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1152
Greensboro, GA 30642-8152
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.