JAMES B. CRAIG CENTER
Intermediate Care Facility, Mental Illness
Milledgeville, Georgia
Provider NPI: 1346238276
Organization Information:Organization Name: JAMES B. CRAIG CENTER
Practice Location:
200 ALLEN RD MILLEDGEVILLE, GA 31062 US
Tel: 478-445-5478 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:
200 ALLEN RD MILLEDGEVILLE, GA 31062 US
Tel: 478-445-5478 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | GA | 1-005-1217 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
11A556 | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin