OrganizationActive
Care of Latrelle, LLC
NPI 1174067276 · Adult Care Home Facility · Savannah, GA
Provider details
- NPI number
- 1174067276
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Davis, Credentialing Specialists(912) 484-3879
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
127 Waverly Way
Savannah, GA 31407-5032
Phone: (912) 220-8105
Approximate (ZIP-level) locationGet directions
Mailing address
127 Waverly Way
Savannah, GA 31407-5032
Registry dates
- Enumerated
- 2016-12-07
- Last updated
- 2016-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.