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

Petlin Diversified Services LLC

Organization Skilled Nursing Facility · NPI 1801056791

Petlin Diversified Services LLC is a Skilled Nursing Facility in Powder Springs, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2817 Lost Lakes Way
Powder Springs, GA 30127-6018
Phone: (770) 595-8934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence RN155427NP (GA)

Record details

NPI number1801056791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Mbah — Ceo · (770) 595-8934
NPI enumeratedJune 13, 2008
Last updated in NPPESJune 13, 2008
Mailing address2817 Lost Lakes Way, Powder Springs, GA 30127-6018

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