Organization
PORTER FIELD HEALTH & REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET JR. (SECRETARY)
(478) 974-0006
Entity
Organization
Contact information
Practice address
3051 WHITESIDE RD, MACON, GA 31216-6209
(478) 788-1421
(478) 781-0987
Mailing address
3051 WHITESIDE RD, MACON, GA 31216-6209
(478) 788-1421
(478) 781-0987
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-011-1916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000222582A
—
GA
Enumeration date
03/04/2008
Last updated
05/05/2015
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