Organization
GIBSON HEALTH CARE LLC
Active
Other names
Keysville Nursing Home and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM GIBSON (OWNER)
(706) 547-2591
Entity
Organization
Contact information
Practice address
1005 HIGHWAY 88 NORTH, KEYSVILLE, GA 30816-4418
(706) 547-2591
(706) 547-2592
Mailing address
PO BOX 220, KEYSVILLE, GA 30816-0220
(706) 547-2591
(706) 547-2592
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141655A
—
GA
Enumeration date
05/31/2007
Last updated
10/29/2012
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