Fort Gaines Operator LLC
NPI #1750553996 in Fort Gaines, Georgia
Provider Information
- NPI Number
- 1750553996
- Entity Type
- Organization
- Organization Name
- Fort Gaines Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 27, 2008
- Last Updated
- Jan 23, 2015
Practice Location
- Address
- 101 HARTFORD RD W
- City
- Fort Gaines
- State
- Georgia
- ZIP Code
- 39851-4331
- Phone
- (229) 768-2521
Authorized Official
- Name
- WALDEMAR W. SELTZER JR.
- Title
- ADMINISTRATOR
- Phone
- (229) 768-2521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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