Provider Demographics
NPI:1982819124
Name:DUNCAN MCRAE HOUSE, INC
Entity Type:Organization
Organization Name:DUNCAN MCRAE HOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIMMIE SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-583-2020
Mailing Address - Street 1:129 SOUTH RAILROAD AVENUE
Mailing Address - Street 2:POST OFFICE BOX 411
Mailing Address - City:MOUNT VERNON
Mailing Address - State:GA
Mailing Address - Zip Code:30445
Mailing Address - Country:US
Mailing Address - Phone:912-583-2020
Mailing Address - Fax:
Practice Address - Street 1:129 SOUTH RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:MT. VERNON
Practice Address - State:GA
Practice Address - Zip Code:30445
Practice Address - Country:US
Practice Address - Phone:912-583-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility