Provider Demographics
NPI:1598155491
Name:4FRONT HEALTHCARE OF SAVANNAH
Entity Type:Organization
Organization Name:4FRONT HEALTHCARE OF SAVANNAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP
Authorized Official - Prefix:
Authorized Official - First Name:RAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-315-2399
Mailing Address - Street 1:7505 WATERS AVE
Mailing Address - Street 2:F8
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3825
Mailing Address - Country:US
Mailing Address - Phone:912-493-9438
Mailing Address - Fax:912-493-9439
Practice Address - Street 1:7505 WATERS AVE
Practice Address - Street 2:F8
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-493-9438
Practice Address - Fax:912-493-9349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based