NPI 1982448916
Inependent Living Care
Practice location
- Address
- 134 Brown St, Screven, GA 31560-9134
- Phone
- (912) 202-3674
- Mailing address
- 134 Brown Street P O Box 494, Screven, GA 31560
Authorised official
- Name
- Patricia Ann Jernigan
- Title
- Ceo
- Phone
- (912) 202-6344
Registered specialties
Nursing Home Administrator
Primary
Registry record
- NPI
- 1982448916
- Entity type
- Organization
- NPI issued
- 24 Jun 2024
- Record last updated
- 24 Jun 2024
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.