Provider Demographics
NPI:1235741489
Name:SAEGCYHEALTHCARE
Entity Type:Organization
Organization Name:SAEGCYHEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHEROKEE
Authorized Official - Middle Name:LAKEYTA
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:229-529-2008
Mailing Address - Street 1:1301 WESTWOOD DR APT G
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-6237
Mailing Address - Country:US
Mailing Address - Phone:229-529-2008
Mailing Address - Fax:
Practice Address - Street 1:1301 WESTWOOD DR APT G
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31721-6237
Practice Address - Country:US
Practice Address - Phone:229-529-2008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care