Organization
BAPTIST VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUMMER STIPE (PRESIDENT/CEO)
(912) 283-1234
Entity
Organization
Contact information
Practice address
2650 CARSWELL AVE, WAYCROSS, GA 31503-4081
(912) 283-1234
(912) 283-0437
Mailing address
2650 CARSWELL AVE, WAYCROSS, GA 31503-4081
(912) 283-1234
(912) 283-0437
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-148-250
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140203A
—
GA
Enumeration date
11/14/2005
Last updated
01/02/2024
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