NPI 1376604082

Brentwood Nursing LLC

Organisation Skilled Nursing Facility Fort Valley, GA

Practice location

Address: 604 Bluebird Blvd, Fort Valley, GA 31030-5081
Phone: (478) 825-2031
Fax: (478) 825-2041

Authorised official

Name: Tygh Brogdon
Title: Manager
Phone: (770) 650-8773

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1-111-1746 (GA)

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1376604082
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 29 Sep 2008

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.