Organization
NORKUS, INCORPORATED
Active
Other names
Fitzgerald Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KITE (ADMINISTRATOR)
(229) 423-4361
Entity
Organization
Contact information
Practice address
185 BOWENS MILL HWY, FITZGERALD, GA 31750-7803
(229) 423-4361
Mailing address
185 BOWENS MILL HWY, FITZGERALD, GA 31750-7803
(229) 423-4361
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
100945
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140995B
—
GA
Enumeration date
06/27/2007
Last updated
06/05/2009
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