Ft Gaines Healthcare LLC
NPI #1124021506 in Fort Gaines, Georgia
Provider Information
- NPI Number
- 1124021506
- Entity Type
- Organization
- Organization Name
- Ft Gaines Healthcare LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 31, 2005
- Last Updated
- Sep 29, 2008
Practice Location
- Address
- 101 HARTFORD RD
- City
- Fort Gaines
- State
- Georgia
- ZIP Code
- 39851-3639
- Phone
- (229) 768-2521
Authorized Official
- Name
- TYGH BROGDON
- Title
- MANAGER
- Phone
- (770) 650-8773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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