Organization
BETHANY HOME, INC
Active
Other names
Bethany Home Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY DASHER LIVINGSTON (CEO)
(912) 764-7960
Entity
Organization
Contact information
Practice address
466 S GRAY ST, MILLEN, GA 30442-5237
(478) 982-2531
(478) 982-3131
Mailing address
PO BOX 600, MILLEN, GA 30442-0600
(478) 982-2531
(478) 982-3131
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-082-014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140269A
—
GA
Enumeration date
10/07/2005
Last updated
05/01/2008
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