Organization
BULLOCH COUNTY HEALTH CARE LLC
Active
Other names
Heritage Inn Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA SCOTT HERRON (ADMINISTRATOR)
(912) 764-9011
Entity
Organization
Contact information
Practice address
307 JONES MILL RD, STATESBORO, GA 30458-4765
(912) 764-9011
(912) 764-8218
Mailing address
307 JONES MILL RD, STATESBORO, GA 30458-4765
(912) 764-9011
(912) 764-8218
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-016-1767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142161A
—
GA
Enumeration date
09/08/2005
Last updated
05/01/2026
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