NPI 1053477877

Statewide Healthcare, INC.

Organisation Adult Care Home Facility Savannah, GA

Practice location

Address: 714 Martin Luther King Jr Blvd Suit 100, Savannah, GA 31401-5570
Phone: (912) 231-8958

Authorised official

Name: J. Craig Gordon
Title: Ceo
Phone: (912) 231-8958

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 621610 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1053477877
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 22 Aug 2020

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.