Bulloch County Ltc LLC
NPI #1023044518 in Statesboro, Georgia
Provider Information
- NPI Number
- 1023044518
- Entity Type
- Organization
- Organization Name
- Bulloch County Ltc LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 25, 2006
- Last Updated
- May 16, 2025
Practice Location
- Address
- 405 S COLLEGE ST
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-5409
- Phone
- (912) 764-4575
Authorized Official
- Name
- TAYLOR MCCOY
- Title
- ADMINISTRATOR
- Phone
- (912) 764-4575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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