Glascock County Health Care Llc

NPI 1487648010 - Assisted Living Facility - 310400000X

NPI Details
NPI 1487648010
Enumeration Date 09/09/2005
Last Updated 05/24/2011
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JIMMIE JIMMIE
Position ADMINISTRATOR
Phone (706) 598-2167
Fax (706) 598-3802
Practice Location
434 BEALL SPRINGS RD
GIBSON GA, 30810-4224, US
Phone (706) 598-2167
Fax (706) 598-3802
Business Location
PO BOX 248
GIBSON GA, 30810-0248, US
Phone (706) 598-2167
Fax (706) 598-3802
Toxanomy
Taxonomy Code 310400000X
License State Georgia
License Number 062-02-001-1
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According to our database, Glascock County Health Care Llc NPI is 1487648010, taxonomy code is 310400000X and license number is 062-02-001-1, license state is located at Georgia. Glascock County Health Care Llc physically located at 434 Beall Springs Rd, Gibson GA, 30810-4224. NPI Number 1033115704 has the healthcare provider type.

1487648010 NPI number is provided on an as is basis without warranty of any kind. 1487648010 is maintained by the National Plan & Provider Enumeration System. The contents of Glascock County Health Care Llc are for informational purposes only.