Organization
EVANS COUNTY LTC LLC
Active
Other names
Camellia Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOOKS (ADMINISTRATOR)
(912) 739-2245
Entity
Organization
Contact information
Practice address
700 E LONG ST, CLAXTON, GA 30417-5916
(912) 739-2245
(912) 739-3762
Mailing address
PO BOX 712, CLAXTON, GA 30417-0712
(912) 739-2245
(912) 739-3762
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-054-1901
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140588A
—
GA
Enumeration date
06/18/2006
Last updated
03/13/2026
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