MIDDLE GEORGIA NURSING HOME, INC
Skilled Nursing Facility
Eastman, Georgia
Provider NPI: 1053314039
Organization Information:Organization Name: MIDDLE GEORGIA NURSING HOME, INC
Practice Location:
556 CHESTER HWY EASTMAN, GA 31023 US
Tel: 478-374-4733 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:
556 CHESTER HWY EASTMAN, GA 31023 US
Tel: 478-374-4733 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | GA | 10451407 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0001419174A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin