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NPI Code Detail

MEDICARE: CHC - HART CARE CENTER LLC

MEDICARE: CHC - HART CARE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility10731760GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750387924
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHC - HART CARE CENTER LLC
Provider Business Mailing Address
First Line : 261 FAIRVIEW AVE
Second Line :
City : HARTWELL
State : GA
Zip : 30643-2247
Country : US
Telephone Number : 706-376-7121
Fax Number : 706-376-6538
Provider Business Practice Location Address
First Line : 261 FAIRVIEW AVE
Second Line :
City : HARTWELL
State : GA
Zip : 30643-2247
Country : US
Telephone Number : 706-376-7121
Fax Number : 706-376-6538
Authorized Official
Title or Position : MANAGER
Name : MR. MITCHELL STARER
Credential :
Telephone Number : 914-390-4300
Provider Enumeration Date : 06/22/2005
Last Update Date : 12/27/2012

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Directions to “CHC - HART CARE CENTER LLC ” Practice Location

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