Organization · Type 2 NPI

Coffee County Nursing Home, LLC

Adult Day Care Clinic/Center · Douglas, GA

NPI number 1730218702 Active

Practice location

1310 Gordon St W
Douglas, GA 31533-3432

Fax (912) 384-7695

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600X1-056-1784 (GA)

Adult Day Care Clinic/Center: Definition to come...

2 other providers at this address

About NPI 1730218702

Coffee County Nursing Home, LLC's National Provider Identifier is 1730218702, issued on Mar 5, 2007. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Douglas, GA. The record was last updated on Aug 22, 2020.