Organization
STATEWIDE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. CRAIG GORDON (CEO)
(912) 231-8958
Entity
Organization
Contact information
Practice address
714 MARTIN LUTHER KING JR BLVD, SUIT 100, SAVANNAH, GA 31401-5570
(912) 231-8958
Mailing address
714 MARTIN LUTHER KING JR BLVD, SUIT 100, SAVANNAH, GA 31401-5570
(912) 231-8958
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
621610
GA
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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