GLASCOCK COUNTY HEALTH CARE LLC
Assisted Living Facility
Gibson, Georgia
Provider NPI: 1487648010
Organization Information:Organization Name: GLASCOCK COUNTY HEALTH CARE LLC
Practice Location:
434 BEALL SPRINGS RD GIBSON, GA 30810 US
Tel: 706-598-2167 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
434 BEALL SPRINGS RD GIBSON, GA 30810 US
Tel: 706-598-2167 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | GA | 062-02-001-1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000258706A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin