Organization
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
Active
Other names
Pierce County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HOFFMAN (CFO)
(912) 287-4213
Entity
Organization
Contact information
Practice address
221 CARTER AVE., BLACKSHEAR, GA 31516
(912) 449-6631
(912) 449-3840
Mailing address
221 CARTER AVE., BLACKSHEAR, GA 31516
(912) 449-6631
(912) 449-3840
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-113-1108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142447A
—
GA
Enumeration date
06/24/2006
Last updated
08/15/2016
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