Organization
WILDWOOD SANITARIUM, INCORPORATED
Active
Other names
Wildwood Lifestyle Center and Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBUR ATWOOD PASTOR (PRESIDENT)
(706) 820-1493
Entity
Organization
Contact information
Practice address
435 LIFESTYLE LANE, WILDWOOD, GA 30757-0129
(706) 820-1493
Mailing address
435 LIFESTYLE LANE, WILDWOOD, GA 30757-0129
(706) 820-1493
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
41198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41198
HOSPITAL PERMIT NUMBER
GA
Enumeration date
07/27/2006
Last updated
08/12/2010
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