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
- City
- Fort Valley
- 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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