Organization
GIBSON HEALTH OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI TODD (MEMBER OF LLC)
(478) 200-0301
Entity
Organization
Contact information
Practice address
434 BEALL SPRINGS RD, GIBSON, GA 30810-4224
(706) 598-3201
Mailing address
434 BEALL SPRINGS RD, GIBSON, GA 30810-4224
(706) 598-3201
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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