11D0698313 CLIA NUMBER - TATTNALL HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 11D0698313

Facility Name: TATTNALL HEALTHCARE CENTER

Facility Address:
142 MEMORIAL DRIVE
REIDSVILLE, GA
ZIP 30453
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Facility Phone Number: 912 557-4345

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1063454718

Taxonomy: 314000000X - 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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	11D0698313
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	TATTNALL HEALTHCARE CENTER
Street	142 MEMORIAL DRIVE
City	REIDSVILLE
State	GA
ZIP	30453
Phone	912 557-4345
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024