BRANDON WILDE LLC

Skilled Nursing Facility

Active Organization
NPI: 1780450924

Practice Address

4275 OWENS RD
Evans, GA 30809

Phone: (706) 868-3568

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X No -
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1780450924 is the National Provider Identifier for BRANDON WILDE LLC, a Skilled Nursing Facility provider located in Evans, GA. This NPI was enumerated on November 29, 2023.

Quick Facts

NPI
1780450924
Type
Organization
Enumerated
Nov 29, 2023
Last Updated
Nov 29, 2023

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