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Angus Lake Healthcare, Llc
Long Term Care Pharmacy in Gordon, Georgia
NPI 1912340829

Angus Lake Healthcare, Llc is a Long Term Care Pharmacy based in Gordon, GA and is specialized in Long Term Care Pharmacy. Angus Lake Healthcare, Llc practices in Gordon, GA. The NPI Number for Angus Lake Healthcare, Llc is 1912340829 and holds a License No. PHRE009911 (Georgia).

The current practice location address for Angus Lake Healthcare, Llc is 242 Milledgeville Hwy, Gordon, GA and can be reached out via phone at 229-520-5151 and via fax at 478-628-2263.

Location: 242 Milledgeville Hwy, Gordon, GA, 31031-0249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912340829
Provider Name
Angus Lake Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
242 Milledgeville Hwy, Gordon, GA, 31031-0249
Phone Number
229-520-5151
Fax Number
478-628-2263
Provider Enumeration Date
04/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
242 Milledgeville Hwy
City
Gordon
State
Georgia
Zip
31031-3827
Phone Number
229-520-5151
Fax Number
478-628-2263
person
Provider Business Mailing Address Details
Address
242 Milledgeville Hwy
City
Gordon
State
Georgia
Zip
31031-3827
Phone Number
229-520-5151
Fax Number
478-628-2263
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHRE009911 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PHRE009911 (Georgia)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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