Organization
BRIGHTMOOR HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY W GRIFFIN (REGIONAL VP OF OPERATIONS)
(770) 228-8599
Entity
Organization
Contact information
Practice address
3235 NEWNAN RD, GRIFFIN, GA 30223-7114
(770) 228-8599
(770) 228-6618
Mailing address
3235 NEWNAN RD, GRIFFIN, GA 30223-7114
(770) 228-8599
(770) 228-6618
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11261150
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140412A
—
GA
Enumeration date
09/30/2005
Last updated
05/08/2014
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