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Organization

FORT GAINES OPERATOR LLC

Active
Other names
Fort Gaines Health and Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
WALDEMAR W. SELTZER JR. (ADMINISTRATOR)
(229) 768-2521
Entity
Organization

Contact information

Practice address
101 HARTFORD RD W, FORT GAINES, GA 39851-4331
(229) 768-2521
(229) 768-2466
Mailing address
PO BOX 160, FORT GAINES, GA 39851-0160
(229) 768-2521
(229) 768-2466

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-030-1168
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000140599A
GA
Enumeration date
03/27/2008
Last updated
01/23/2015
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