Provider Demographics
NPI:1891024881
Name:BKY HEALTHCARE OF SAVANNAH, INC.
Entity Type:Organization
Organization Name:BKY HEALTHCARE OF SAVANNAH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-448-3781
Mailing Address - Street 1:30 HOLLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-1359
Mailing Address - Country:US
Mailing Address - Phone:636-448-3781
Mailing Address - Fax:636-625-6242
Practice Address - Street 1:13277 STATE ROUTE D
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:MO
Practice Address - Zip Code:64485-9431
Practice Address - Country:US
Practice Address - Phone:816-324-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility