Organization
UNIVERSITY EXTENDED CARE, INC
Active
Parent organization
UNIVERSITY EXTENDED CARE, INC
Other names
Keysville Nursing Home & Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY EXTENDED CARE, INC
Authorized official
PHYLLIS JOY WRIGHT (DIRECTOR DECISION SUPPORT)
(706) 828-2445
Entity
Organization
Contact information
Practice address
1005 HIGHWAY 88 N, KEYSVILLE, GA 30816
(706) 547-2591
(706) 547-0492
Mailing address
1005 HIGHWAY 88 N, KEYSVILLE, GA 30816
(706) 547-2591
(706) 547-0492
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141655A
—
GA
Enumeration date
12/19/2018
Last updated
12/19/2018
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