Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1245473792 |
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| LBN Legal business name | S. HEALTH CORPORATION OF ELLIJAY | ||||
| Authorized official | DEBBIE SELF - (CHIEF FINANCIAL OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/14/2009 | ||||
| Last updated | 04/14/2009 - About 17 years ago | ||||
| Identifiers |
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