Provider Demographics
NPI:1134754567
Name:BUCHANAN HEALTHCARE CENTER LLC
Entity type:Organization
Organization Name:BUCHANAN HEALTHCARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-646-5512
Mailing Address - Street 1:144 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:GA
Mailing Address - Zip Code:30113-5216
Mailing Address - Country:US
Mailing Address - Phone:770-646-5512
Mailing Address - Fax:
Practice Address - Street 1:144 DEPOT ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:GA
Practice Address - Zip Code:30113-5216
Practice Address - Country:US
Practice Address - Phone:770-646-5512
Practice Address - Fax:770-646-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility