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Organization

TAYLOR REGIONAL HOSPITAL

Active
Other names
Pinewood Manor Nursing Home and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI N PAULK (CEO)
(478) 783-0263
Entity
Organization

Contact information

Practice address
277 COMMERCE ST, HAWKINSVILLE, GA 31036-8415
(478) 892-9171
Mailing address
222 PERRY HWY, HAWKINSVILLE, GA 31036-6748
(478) 627-3213
(478) 783-0439

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00142513A
GA
Enumeration date
12/05/2014
Last updated
09/10/2015
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