Organization
LTC HEALTHCARE OF WHIGHAM INC
Active
Other names
PineWood Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LU FLORY RN, NHA, HR (V/P OPERATIONS)
(770) 993-4000
Entity
Organization
Contact information
Practice address
433 N MCGRIFF ST, WHIGHAM, GA 39897-2146
(229) 762-4121
(229) 762-4899
Mailing address
433 N MCGRIFF ST, WHIGHAM, GA 39897-2146
(229) 762-4121
(229) 762-4899
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142205A
—
GA
Enumeration date
08/10/2005
Last updated
12/06/2011
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