Bainbridge Operator LLC
Skilled Nursing Facility in Bainbridge, GA. Organization (NPI-2).
NPI number1508038696
StatusActive
Last updated in NPPESJan 23, 2015
Details
- NPI
- 1508038696
- Entity type
- Organization (NPI-2)
- Legal business name
- Bainbridge Operator LLC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2008
- Last updated
- Jan 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 1-043-1146 | GA | Yes |
Other names
- Bainbridge Health And Rehab (Doing Business As)
Practice location
1155 W College StBainbridge, GA 39819-6400
Phone 229-243-0931 · Fax 229-246-9284
Mailing address
1155 W College StBainbridge, GA 39819-6400
Phone 229-243-0931 · Fax 229-246-9284
Authorized official
Rebecca A. Grantham
Administrator
2292430931
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