Organization
DAWSON MANOR NURSING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GAINT JR. (ADMINISTRATOR)
(478) 995-5016
Entity
Organization
Contact information
Practice address
1159 GEORGIA AVE SE, DAWSON, GA 39842
(229) 995-5016
(229) 995-3272
Mailing address
PO BOX 607, DAWSON, GA 39842-0607
(229) 995-5016
(229) 995-3272
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-135-1716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140808A
—
GA
01
—
51001669 001
BCBS
—
Enumeration date
06/04/2006
Last updated
02/12/2026
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