Organization
BALDWIN COUNTY NURSING HOME LLC
Active
Other names
Green Acres Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BLOODWORTH (ADMINISTRATOR)
(478) 453-9437
Entity
Organization
Contact information
Practice address
313 ALLEN MEMORIAL DR SW, MILLEDGEVILLE, GA 31061-4405
(478) 453-9437
(478) 452-7191
Mailing address
313 ALLEN MEMORIAL DR SW, MILLEDGEVILLE, GA 31061-4405
(478) 453-9437
(478) 452-7191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-005-1783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00083014A
—
GA
01
—
51004446 001
BCBS
—
Enumeration date
06/21/2006
Last updated
07/17/2020
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