OrganizationActive
Bulloch County Ltc LLC
NPI 1023044518 · Skilled Nursing Facility · Statesboro, GA
Provider details
- NPI number
- 1023044518
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Taylor Mccoy, Administrator(912) 764-4575
- License
- 1-016-1898 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
405 S College St
Statesboro, GA 30458-5409
Phone: (912) 764-4575
Fax: (912) 764-3916
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746
Statesboro, GA 30459-0746
Other names (DBA / former)
- Doing business as
- Eagle Health and Rehabilitation
- Doing business as
- Eagle Health and Rehabilitation
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.