NPI 1639441421

Smith Personal Care Home 1and 2 INC

Organisation Intellectual Disabilities Intermediate Care Facility Swainsboro, GA

Practice location

Address: 309 Advance St, Swainsboro, GA 30401-3675
Phone: (478) 237-2123
Fax: (478) 237-2129

Authorised official

Name: Maurita H Smith
Title: Administrator
Phone: (478) 237-2123

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 053010771 (GA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Georgia →

Registry record

NPI: 1639441421
Entity type: Organization
NPI issued: 8 Feb 2012
Record last updated: 8 Feb 2012

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.