Organization
HERITAGE INN OF SANDERSVILLE LLC
Active
Other names
Heritage Inn of Sandersville Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MCMICHAEL (ADMINISTRATOR)
(478) 552-3015
Entity
Organization
Contact information
Practice address
652 FERNCREST DR, SANDERSVILLE, GA 31082-1863
(478) 552-3015
(478) 552-1767
Mailing address
PO BOX 388, SANDERSVILLE, GA 31082-0388
(478) 552-3015
(478) 552-1767
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-150-1704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412678A
—
GA
01
—
51001283 001
BCBS
—
Enumeration date
06/01/2006
Last updated
07/23/2012
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