| Organization Name: | CLAXTON NURSING HOME, INC. |
| NPI Number: | 1548397276 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM SHEFFIELD (VP OF FINANCIAL REPORTING) |
| Mailing Address: | 700 E Long St Claxton |
| State: | GA US |
| Postal Code: | 304175916 |
| Phone Number: | 9127392245 |
| Fax Number: | 9127393762 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 1-054-1803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |