Organization
MIDDLE GEORGIA NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN HARVILL (CFO)
(478) 374-0805
Entity
Organization
Contact information
Practice address
556 CHESTER HWY, EASTMAN, GA 31023-3717
(478) 374-4733
(478) 374-1688
Mailing address
556 CHESTER HWY, EASTMAN, GA 31023-3717
(478) 374-4733
(478) 374-1688
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10451407
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001419174A
—
GA
Enumeration date
05/24/2005
Last updated
03/23/2008
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