Organization
BAINBRIDGE HEALTHCARE, LLC
Active
Other names
Bainbridge HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH BROGDON (MANAGER)
(770) 650-8773
Entity
Organization
Contact information
Practice address
1155 W COLLEGE ST, BAINBRIDGE, GA 39819-6400
(229) 243-0931
(229) 246-9284
Mailing address
1155 W COLLEGE ST, BAINBRIDGE, GA 39819-6400
(229) 243-0931
(229) 246-9284
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-043-1835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000258915A
—
GA
Enumeration date
06/17/2006
Last updated
09/29/2008
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