Organization
CHAPLINWOOD NURSING HOME LLC
Active
Other names
Chaplinwood Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNETHA WILDER (ADMINISTRATOR)
(478) 453-8514
Entity
Organization
Contact information
Practice address
325 ALLEN MEMORIAL DR SW, MILLEDGEVILLE, GA 31061-4405
(478) 453-8514
(478) 453-8616
Mailing address
325 ALLEN MEMORIAL DR SW, MILLEDGEVILLE, GA 31061-4405
(478) 453-8514
(478) 453-8616
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-005-1778
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00059694A
—
GA
01
—
51001275 001
BCBS
—
Enumeration date
07/01/2006
Last updated
09/28/2023
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