Organization
SOUTH DOOLEY RETIREMENT CENTER
Active
Organization
SOUTH DOOLEY RETIREMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS ELLIS KELLEY M.S. (ADMINISTRATOR)
(478) 783-4117
Entity
Organization
Contact information
Practice address
105 S DOOLEY ST, 105 SOUTH DOOLEY STREET, HAWKINSVILLE, GA 31036-1703
(478) 783-4117
Mailing address
105 SOUTH DOOLEY STREET, HAWKINSVILLE, GA 31036
(478) 783-4117
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968169651A
—
GA
05
—
968169651B
—
GA
Enumeration date
07/17/2008
Last updated
07/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up