# WILDWOOD SANITARIUM, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wildwood Lifestyle Center and Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235153883
- **Authorized official:** MR. WILBUR ATWOOD PASTOR (PRESIDENT)
- **Authorized official phone:** (706) 820-1493

## Contact information

- **Practice address:** 435 LIFESTYLE LANE, WILDWOOD, GA 30757-0129
- **Practice address phone:** (706) 820-1493
- **Mailing address:** 435 LIFESTYLE LANE, WILDWOOD, GA 30757-0129
- **Mailing address phone:** (706) 820-1493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 41198 | GA | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 41198 | HOSPITAL PERMIT NUMBER | GA |