Organization
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Active
Parent organization
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Other names
Miller Nusing Home Part B
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Authorized official
CRISSA P SHAW (CREDENTIALING COORDINATOR)
(229) 758-4212
Entity
Organization
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4212
Mailing address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4212
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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