is a Skilled Nursing Facility in Augusta, Georgia. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1245282409. The last update date is .
's current location address is 3618 J Dewey Gray Cir, Augusta, Georgia. You can contact this provider via phone number 7068607572 and fax number 7068602046. The mailing address for is 3618 J Dewey Gray Cir, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3618 J Dewey Gray Cir, Augusta, Georgia |
| Phone Number | 7068607572 |
| Fax Number | 7068602046 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245282409 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3618 J Dewey Gray Cir |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309091867 |
| Phone Number | 7068607572 |
| Fax Number | 7068602046 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1-121-1851 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 942852 | GA | AETNA GA | |
| 5468083 | GA | AETNA GA | |
| 00241678A | GA | -- |
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