NPI 1023044518

Bulloch County Ltc LLC

Organisation Skilled Nursing Facility Statesboro, GA

Practice location

Address: 405 S College St, Statesboro, GA 30458-5409
Phone: (912) 764-4575
Fax: (912) 764-3916
Mailing address: PO Box 746, Statesboro, GA 30459-0746

Authorised official

Name: Taylor McCoy
Title: Administrator
Phone: (912) 764-4575

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1-016-1898 (GA)

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1023044518
Entity type: Organization
NPI issued: 25 Jun 2006
Record last updated: 16 May 2025

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.