Brentwood Nursing LLC

NPI #1376604082 in Fort Valley, Georgia

Provider Information

NPI Number
1376604082
Entity Type
Organization
Organization Name
Brentwood Nursing LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 13, 2006
Last Updated
Sep 29, 2008

Practice Location

Address
604 BLUEBIRD BLVD
State
Georgia
ZIP Code
31030-5081
Phone
(478) 825-2031

Authorized Official

Name
TYGH BROGDON
Title
MANAGER
Phone
(770) 650-8773

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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