Organization · Type 2 NPI

Department of Behavioral Health and Developmental Disabilities

Skilled Nursing Facility · Gracewood, GA

NPI number 1053646166 Active

Practice location

100 Myrtle Blvd
Gracewood, GA 30812-1500

Call (706) 790-2042 Map

Fax (706) 790-2476

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1-121-694 (GA)

Skilled Nursing Facility: (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1053646166

Department of Behavioral Health and Developmental Disabilities's National Provider Identifier is 1053646166, issued on Oct 7, 2009. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Gracewood, GA. The record was last updated on May 20, 2015.