Organization
GLYNN COUNTY HEALTHCARE, LLC
Active
Other names
Heritage Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE CRISP (ADMINISTRATOR)
(912) 638-9988
Entity
Organization
Contact information
Practice address
2255 FREDERICA RD, SAINT SIMONS ISLAND, GA 31522-1910
(912) 638-9988
Mailing address
2255 FREDERICA RD, SAINT SIMONS ISLAND, GA 31522-1910
(912) 638-9988
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10631831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141402A
—
GA
Enumeration date
11/18/2005
Last updated
05/14/2025
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