Organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Active
Parent organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Other names
SGMC Lakeland Villa
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Authorized official
MRS. JULIE HODGES (CONTROLLER)
(229) 259-4140
Entity
Organization
Contact information
Practice address
120 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 482-8421
(229) 482-8543
Mailing address
PO BOX 9, VALDOSTA, GA 31603-0009
(229) 482-8421
(229) 482-8543
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-086-2043
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141732A
—
GA
Enumeration date
03/27/2014
Last updated
08/22/2019
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