OrganizationActive
Brentwood Nursing LLC
NPI 1376604082 · Skilled Nursing Facility · Fort Valley, GA
Provider details
- NPI number
- 1376604082
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tygh Brogdon, Manager(770) 650-8773
- License
- 1-111-1746 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
604 Bluebird Blvd
Fort Valley, GA 31030-5081
Phone: (478) 825-2031
Fax: (478) 825-2041
Approximate (ZIP-level) locationGet directions
Mailing address
604 Bluebird Blvd
Fort Valley, GA 31030-5081
Other names (DBA / former)
- Doing business as
- Fort Valley Health Care
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2008-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.