Organization · Type 2 NPI

Covington Manor Nursing Home LLC

Parenteral & Enteral Nutrition Supplies (DME) · Hawkinsville, GA

NPI number 1760688550 Active

Practice location

440 Industrial Blvd
Hawkinsville, GA 31036

Mailing address

PO Box 1038
Hawkinsville, GA 31036-7038

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility Supplies (DME) 332BN1400XNone listed
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500X106867 (GA)

Parenteral & Enteral Nutrition Supplies (DME): Definition to come...

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About NPI 1760688550

Covington Manor Nursing Home LLC's National Provider Identifier is 1760688550, issued on Jun 27, 2007. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Hawkinsville, GA. The record was last updated on Jan 2, 2009.