OrganizationActive
Coffee County Nursing Home, LLC
NPI 1730218702 · Adult Day Care Clinic/Center · Douglas, GA
Provider details
- NPI number
- 1730218702
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kim Sheffield, Vp of Financial Reporting
- License
- 1-056-1784 (GA)
Practice location
1310 Gordon St W
Douglas, GA 31533-3432
Phone: (912) 384-7811
Fax: (912) 384-7695
Mailing address
1310 Gordon St W
Douglas, GA 31533-3432
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.