Organization
WILDWOOD HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEE F. WILBANKS (ADMINISTRATOR/OWNER)
(706) 692-6014
Entity
Organization
Contact information
Practice address
184 PINHOOK RD, TALKING ROCK, GA 30175-3495
(706) 692-6014
(706) 692-6695
Mailing address
184 PINHOOK RD, TALKING ROCK, GA 30175-3495
(706) 692-6014
(706) 692-6695
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-112-1344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00143547A
—
GA
Enumeration date
09/29/2005
Last updated
08/22/2020
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