The Southern Living Center

LBN: Glascock County Health Care Llc
The Southern Living Center is an health care organization with primary practice located at 434 Beall Springs Rd , Gibson GA 30810-4224. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Glascock County Health Care Llc can be contacted via phone (706) 598-2167, or through Stewart, Jimmie via phone (706) 598-2167.

Contact Information

Primary practice address
434 Beall Springs Rd Gibson GA 30810-4224
Fax: (706) 598-3802
Website:
Authorized official contact:
Name: Stewart, Jimmie

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 062-02-001-1 Georgia

Profile Details

NPI number 1487648010
LBN Legal business name Glascock County Health Care Llc
DBA Doing business as The Southern Living Center
Authorized official Stewart, Jimmie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated May 24th, 2011 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487648010 NPPES
Georgia MEDICAID 000258706A

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