institution
Covington Manor Nursing Home Llc
Parenteral & Enteral Nutrition Supplies (DME) in Hawkinsville, Georgia
NPI 1760688550

Covington Manor Nursing Home Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Hawkinsville, GA and is specialized in Parenteral & Enteral Nutrition. Covington Manor Nursing Home Llc practices in Hawkinsville, GA. The NPI Number for Covington Manor Nursing Home Llc is 1760688550 and holds a License No. (Georgia).

The current practice location address for Covington Manor Nursing Home Llc is 440 Industrial Blvd, Hawkinsville, GA and can be reached out via phone at 478-783-4988.

Location: 440 Industrial Blvd, Hawkinsville, GA, 31036-7038
institution
Provider Profile Details
NPI Number
1760688550
Provider Name
Covington Manor Nursing Home Llc
Credential
Provider Entity Type
Organization
Address
440 Industrial Blvd, Hawkinsville, GA, 31036-7038
Phone Number
478-783-4988
Fax Number
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000515534A 05 GA
institution
Provider Business Practice Location Address Details
Address
440 Industrial Blvd
City
State
Zip
31036
Phone Number
478-783-4988
Fax Number
person
Provider Business Mailing Address Details
Address
440 Industrial Blvd
City
State
Zip
31036
Phone Number
478-783-4988
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
License No.
106867 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
()
Definition
Definition to come...
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