Organization
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Active
Parent organization
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Other names
Coastal Manor Nursing HOme
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Authorized official
DEREK ROZIER (CFO)
(912) 369-9427
Entity
Organization
Contact information
Practice address
HWY 84 EAST, LUDOWICI, GA 31316
(912) 545-3392
(912) 545-9588
Mailing address
RR 3 BOX 2D, LUDOWICI, GA 31316-9701
(912) 545-3392
(912) 545-9588
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000856028A
—
GA
Enumeration date
07/06/2006
Last updated
01/06/2022
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