Organization
CHRIST'S SANCTIFIED HOLY CHURCH, INC.
Active
Parent organization
CHRIST'S SANCTIIFIED HOLY CHURCH, INC.
Other names
Church Home for the Aged
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRIST'S SANCTIIFIED HOLY CHURCH, INC.
Authorized official
MRS. KATHY GIBBS (ADMINISTRATOR)
(478) 987-1239
Entity
Organization
Contact information
Practice address
2470 US HIGHWAY 41, FORT VALLEY, GA 31030-8716
(478) 987-1239
(478) 988-8273
Mailing address
PO BOX 1376, PERRY, GA 31069-1376
(478) 987-1239
(478) 988-8273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20635S
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004140467A
—
GA
Enumeration date
10/12/2005
Last updated
09/22/2011
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