Healthcare Provider Details

I. General information

NPI: 1396238788
Provider Name (Legal Business Name): DUBLIN HEALTH PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 INDUSTRIAL BLVD
DUBLIN GA
31021-2800
US

IV. Provider business mailing address

300 INDUSTRIAL BLVD
DUBLIN GA
31021-2800
US

V. Phone/Fax

Practice location:
  • Phone: 478-272-7437
  • Fax: 478-272-2427
Mailing address:
  • Phone: 478-272-7437
  • Fax: 478-272-2427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateGA

VIII. Authorized Official

Name: MICHAEL E WINGET SR.
Title or Position: MEMBER
Credential:
Phone: 478-974-0006