THE PAVILION AT BRANDON WILDE
NPI 1821580440
Skilled Nursing Facility in Evans, GA
About The Pavilion At Brandon Wilde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE PAVILION AT BRANDON WILDE (NPI 1821580440) is a healthcare organization registered as a skilled nursing facility in Evans, Georgia and active in the NPI registry since May 2018. The organization lists Diane C Bridgewater, Manager Of Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lcs Brandon Wilde LLC's NPI number?
The NPI number for Lcs Brandon Wilde LLC is 1821580440. It was assigned to this organization in the NPPES registry on May 30, 2018. The provider is doing business as The Pavilion At Brandon Wilde.
Where is Lcs Brandon Wilde LLC located?
Lcs Brandon Wilde LLC is located at 4275 Owens Rd, Evans, GA 30809. The listed phone number is (706) 868-9800.
What is Lcs Brandon Wilde LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
When was this NPI record last updated?
The NPPES record for Lcs Brandon Wilde LLC was last updated on June 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.