The Oaks - Bethany Assisted Living, LLC
Assisted Living Facility in Vidalia, GA. Organization (NPI-2).
NPI number1003210048
StatusActive
Last updated in NPPESOct 20, 2014
Details
- NPI
- 1003210048
- Entity type
- Organization (NPI-2)
- Legal business name
- The Oaks - Bethany Assisted Living, LLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2014
- Last updated
- Oct 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | PCH008331 | GA | Yes |
Other names
- The Oaks - Bethany Assisted Living (Doing Business As)
Practice location
1400 Ne Main StVidalia, GA 30474-8644
Phone 912-538-9700 · Fax 912-538-9702
Mailing address
1626 Jeurgens CtNorcross, GA 30093-2219
Phone 770-279-6200 · Fax 770-931-5278
Authorized official
Neil L. Pruitt
Chairman And Ceo
7702796200
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