Organization
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
Active
Other names
SATILLA CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HOFFMAN (CFO)
(912) 287-4213
Entity
Organization
Contact information
Practice address
1600 RIVERSIDE AVE, WAYCROSS, GA 31501-7028
(912) 283-1182
(912) 285-1578
Mailing address
1600 RIVERSIDE AVE, WAYCROSS, GA 31501-7028
(912) 283-1182
(912) 285-1578
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11481167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142755A
—
GA
Enumeration date
06/21/2006
Last updated
08/15/2016
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