OrganizationActive
University Extended Care, Inc
NPI 1104398866 · Nursing Facility/Intermediate Care Facility · Keysville, GA
Provider details
- NPI number
- 1104398866
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- University Extended Care, Inc
- Organization subpart
- Yes
- Authorized official
- Phyllis Wright, Director Decision Support(706) 828-2445
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Practice location
1005 Highway 88 N
Keysville, GA 30816
Phone: (706) 547-2591
Fax: (706) 547-0492
Approximate (ZIP-level) locationGet directions
Mailing address
1005 Highway 88 N
Keysville, GA 30816
Other names (DBA / former)
- Doing business as
- Keysville Nursing Home & Rehab
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2018-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.