Organization
IRWIN COUNTY HOSPITAL
Active
Other names
Palemon Gaskins Memorial Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL CARVER (CFO)
(229) 468-3846
Entity
Organization
Contact information
Practice address
201 W DISMUKE AVE, OCILLA, GA 31774-1217
(229) 468-3890
(229) 468-3973
Mailing address
201 W DISMUKE AVE, OCILLA, GA 31774-1217
(229) 468-3890
(229) 468-3973
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11-A544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142326A
—
GA
01
—
11-A544
STATE OF GA FACILITY ID #
GA
Enumeration date
10/04/2005
Last updated
02/27/2025
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