Whalio Doctors

NPI 1003210048

The Oaks - Bethany Assisted Living, LLC

Organisation Assisted Living Facility Vidalia, GA

Practice location

Address
1400 NE Main St, Vidalia, GA 30474-8644
Phone
(912) 538-9700
Fax
(912) 538-9702
Mailing address
1626 Jeurgens CT, Norcross, GA 30093-2219

Authorised official

Name
Neil L. Pruitt
Title
Chairman and Ceo
Phone
(770) 279-6200

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence PCH008331 (GA)

Registry record

NPI
1003210048
Entity type
Organization
NPI issued
20 Oct 2014
Record last updated
20 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.