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Contact Information

UNIVERSITY EXTENDED CARE INC
561 UNIVERSITY DRIVE
EVANS, GA30809
 Phone: 706-863-7514
 Fax: 706-855-9580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for UNIVERSITY EXTENDED CARE INC

NPI # 1922094945
LBN Legal business name UNIVERSITY EXTENDED CARE INC
Authorized official KEITH AUSTIN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2005
Last updated 05/05/2010 - About 16 years ago
Identifiers
GA License # LTC1036959
GA Medicaid 000219359A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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