BULLOCH COUNTY LTC LLC NPI 1548397300

NPI Information

NPI: 1548397300
Provider Name: BULLOCH COUNTY LTC, LLC

Doing Business As: EAGLE HEALTH & REHABILITATION

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
405 S COLLEGE ST
STATESBORO, GA
ZIP 30458
Phone: (912) 764-4575
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BULLOCH COUNTY LTC, LLC is an adult day care clinic center in Statesboro, GA. BULLOCH COUNTY LTC, LLC NPI is 1548397300. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Health & Rehabilitation.

The provider's business location address is:

405 S COLLEGE ST
STATESBORO, GA
ZIP 30458-409
Phone: (912) 764-4575
Fax: (912) 764-3916

The provider's authorized official is Kim Sheffield .
The authorized official title is Vp Of Financial Reporting and has the following contact phone number (478) 621-2100.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.

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
1	261QA0600X	Clinic/Center	Adult Day Care	1-016-1802	GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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