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Organization
GEORGIA DEPT OF HUMAN RESOURCES
Active
Organization
GEORGIA DEPT OF HUMAN RESOURCES
Active
Other names
Craig Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN BAILEY (REGIONAL HOSPITAL ADMINISTRATOR)
(478) 445-4128
Entity
Organization
Contact information
Practice address
189 BOONE CIR, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Mailing address
189 BOONE CIR, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00438655A
—
GA
Enumeration date
08/17/2006
Last updated
08/22/2020
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