Organization Name: | METTER NURSING HOME, INC. |
NPI Number: | 1962539601 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIM SHEFFIELD (VP OF FINANCIAL REPORTING) |
Mailing Address: | 300 Cedar St Metter |
State: | GA US |
Postal Code: | 304393222 |
Phone Number: | 9126855734 |
Fax Number: | 9126853357 |
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: | 261QA0600X |
License Number: | 1-021-1804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |