Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Oconee Assisted Living Home

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1114121845

Lake Oconee Assisted Living Home is an Assisted Living Facility (Behavioral Disturbances) in Greensboro, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

105 Wilson St
Greensboro, GA 30642-1426
Phone: (706) 453-7155
Fax: (706) 453-4156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X

Record details

NPI number1114121845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lillie Tripp — Owner · (706) 453-9055
NPI enumeratedJune 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1152, 105 Wilson Street, Greensboro, GA 30642-8152