Ltc Healthcare of Statesboro INC
NPI #1700888740 in Statesboro, Georgia
Provider Information
- NPI Number
- 1700888740
- Entity Type
- Organization
- Organization Name
- Ltc Healthcare of Statesboro INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 10, 2005
- Last Updated
- Jul 18, 2019
Practice Location
- Address
- 101 STOCKYARD RD
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-1343
- Phone
- (912) 764-6005
Authorized Official
- Name
- ROBERT HAGAN
- Title
- PRESIDENT
- Phone
- (770) 993-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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