Organization
COVINGTON MANOR NURSING HOME LLC
Active
Other names
Covington Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH COLEY (MEDICARE PART B COORDINATOR)
(478) 783-4988
Entity
Organization
Contact information
Practice address
4148 CARROLL ST SW, COVINGTON, GA 30014-2706
(478) 783-4988
Mailing address
440 INDUSTRIAL BLVD, P.O. BOX 1033, HAWKINSVILLE, GA 31036-2106
(478) 783-4988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
106867
GA
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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