Brentwood Terrace Health Center, LLC
Skilled Nursing Facility in Waynesboro, GA. Organization (NPI-2).
NPI number1477595403
StatusActive
Last updated in NPPESFeb 17, 2010
Details
- NPI
- 1477595403
- Entity type
- Organization (NPI-2)
- Legal business name
- Brentwood Terrace Health Center, LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Feb 17, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 1-017-1711 | GA | Yes |
Other names
- Brentwood Health And Rehabilitation (Doing Business As)
Practice location
115 Brentwood DrWaynesboro, GA 30830-4519
Phone 706-554-4425 · Fax 706-554-6163
Mailing address
Po Box 907Waynesboro, GA 30830-0907
Phone 706-554-4425 · Fax 706-554-6163
Authorized official
Tina Lane
Administrator
7065544425
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