Organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Active
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Authorized official
STEPHEN TYLER WILLIAMS (VP OF STRATEGY AND BUSINESS DEVELOP)
(706) 754-3113
Entity
Organization
Contact information
Practice address
541 441 HISTORIC HWY N, DEMOREST, GA 30535-4528
(706) 754-2161
(706) 754-7300
Mailing address
PO BOX 1629, DEMOREST, GA 30535-1629
(706) 754-2161
(706) 754-7300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC1068299
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141292A
—
GA
01
—
LTC1068299
LICENSE NUMBER
GA
Enumeration date
03/12/2007
Last updated
01/21/2021
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