Organization
THE POTTER'S HOUSE OF WRIGHTSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRICE DIXON RN (ADMINISTRATOR)
(478) 864-0400
Entity
Organization
Contact information
Practice address
312 N MARCUS ST, WRIGHTSVILLE, GA 31096-1012
(478) 864-0400
(478) 864-0442
Mailing address
312 N MARCUS ST, WRIGHTSVILLE, GA 31096-1012
(478) 864-0400
(478) 864-0442
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791491A
—
GA
05
—
0791491B
—
GA
Enumeration date
03/27/2007
Last updated
08/22/2020
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