NPI 1316935422

Christ's Sanctified Holy Church, INC.

Organisation Skilled Nursing Facility Fort Valley, GA

Practice location

Address: 2470 US Highway 41, Fort Valley, GA 31030-8716
Phone: (478) 987-1239
Fax: (478) 988-8273
Mailing address: PO Box 1376, Perry, GA 31069-1376

Authorised official

Name: Kathy Gibbs
Title: Administrator
Phone: (478) 987-1239

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 20635S (GA)

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1316935422
Entity type: Organization
NPI issued: 12 Oct 2005
Record last updated: 22 Sep 2011

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.