MCTWYNN INC NPI 1083024608

NPI Information

  • NPI: 1083024608
  • Provider Name: MCTWYNN, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: LAKEVIEW RETIREMENT CENTER
  • Address: 111 STEPHENS AVE
    BAXLEY, GA
    ZIP 31513
  • Phone: (912) 367-9109

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NPI Details

MCTWYNN, INC is an assisted living facility in Baxley, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MCTWYNN, INC NPI is 1083024608. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeview Retirement Center.

The provider's business location address is:

111 STEPHENS AVE
BAXLEY, GA
ZIP 31513
Phone: (912) 367-9109
Fax: (912) 367-5927

The provider's authorized official is Kimberly Jenkins Wynn .
The authorized official title is V.p./sec and has the following contact phone number (912) 367-9109.

The enumeration date for this NPI number is 5/5/2014 and was last updated on 5/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityPERMIT NO PCH009056GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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