Southern Breeze Pch

LBN: Southern Breeze Pch
Southern Breeze Pch is an health care organization with primary practice located at 127 S Belair Rd , Martinez GA 30907-9111. 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. Southern Breeze Pch can be contacted via phone (706) 799-0308, or through Holley, Annette M via phone (706) 799-0308.

Contact Information

Primary practice address
127 S Belair Rd Martinez GA 30907-9111
Phone: (706) 799-0308
Fax: (706) 504-4162
Website:
Map and Directions
Authorized official contact:
Name: Holley, Annette M
Phone: (706) 799-0308

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1245735950
LBN Legal business name Southern Breeze Pch
DBA Doing business as
Authorized official Holley, Annette M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2018
Last updated Mar 26th, 2018 - about 8 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 1245735950 NPPES
Georgia MEDICAID 003143758A

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