# STATEWIDE HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902961741
- **Authorized official:** J. CRAIG GORDON (CEO)
- **Authorized official phone:** (912) 231-8958

## Contact information

- **Practice address:** 102 OGLETHORPE PROFESSIONAL CT, SUITE 4, SAVANNAH, GA 31406-3600
- **Practice address phone:** (912) 231-8958
- **Mailing address:** 102 OGLETHORPE PROFESSIONAL CT, SUITE 4, SAVANNAH, GA 31406-3600
- **Mailing address phone:** (912) 231-8958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 621610 | GA | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 04/06/2011