Organization
HEALTHFIELD OF STATESBORO, LLC
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(912) 486-1900
Entity
Organization
Contact information
Practice address
1100 BRAMPTON AVE STE N, STATESBORO, GA 30458-0871
(912) 486-1900
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708078A
—
GA
Enumeration date
07/04/2006
Last updated
09/06/2022
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