Organization
SAVANNAH RIVER NURSING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNCEE M COOPER (ADMINISTRATOR)
(706) 496-3681
Entity
Organization
Contact information
Practice address
621 PONDER PLACE DR STE 3, EVANS, GA 30809-3121
(706) 496-3681
(706) 496-3645
Mailing address
621 PONDER PLACE DR STE 3, EVANS, GA 30809-3121
(706) 496-3681
(706) 496-3645
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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