OrganizationActive
Department of Behavioral Health and Developmental Disabilities
NPI 1699000703 · Intellectual Disabilities Intermediate Care Facility · Gracewood, GA
Provider details
- NPI number
- 1699000703
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Brock, Regional Hospital Administrator(706) 790-2030
- License
- 2-121-792 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
100 Myrtle Blvd
Gracewood, GA 30812-1500
Phone: (706) 790-2030
Fax: (706) 790-2025
Approximate (ZIP-level) locationGet directions
Mailing address
100 Myrtle Blvd
Gracewood, GA 30812-1500
Other names (DBA / former)
- Doing business as
- East Central Regional Hospital
Registry dates
- Enumerated
- 2009-10-07
- Last updated
- 2015-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.