Organization
BETHANY HOME, INC.
Active
Other names
Bethany Nursing Center of Vidalia
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRON WINGE (ADMINISTRATOR)
(912) 537-7922
Entity
Organization
Contact information
Practice address
1305 EAST NORTH ST, VIDALIA, GA 30474
(912) 537-7922
(912) 537-0216
Mailing address
1305 EAST NORTH ST, VIDALIA, GA 30474
(912) 537-7922
(912) 537-0216
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1138015
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140258A
—
GA
05
—
00140258B
—
GA
Enumeration date
03/23/2006
Last updated
01/13/2010
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