Glenvue Nursing Home

LBN: Evans Memorial Hospital, Inc.
Glenvue Nursing Home is an health care organization with primary practice located at 721 N Downing Musgrove Hwy , Glennville GA 30427-2208. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Evans Memorial Hospital, Inc. can be contacted via phone (912) 654-2141, or through Tatum, Martha F via phone (912) 739-5105.

Contact Information

Primary practice address
721 N Downing Musgrove Hwy Glennville GA 30427-2208
Phone: (912) 654-2141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tatum, Martha F
Phone: (912) 739-5105

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 11321521 Georgia

Profile Details

NPI number 1366461857
LBN Legal business name Evans Memorial Hospital, Inc.
DBA Doing business as Glenvue Nursing Home
Authorized official Tatum, Martha F
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366461857 NPPES
Georgia MEDICAID 00141171A

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