Provider Demographics
NPI:1780445833
Name:SAVANNAH HEALTHCARE GROUP LLC
Entity type:Organization
Organization Name:SAVANNAH HEALTHCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MALAYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:191-222-0763
Mailing Address - Street 1:741 E 35TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-8229
Mailing Address - Country:US
Mailing Address - Phone:191-222-0763
Mailing Address - Fax:
Practice Address - Street 1:115 OGLETHORPE PROFESSIONAL CT STE 6
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3624
Practice Address - Country:US
Practice Address - Phone:912-220-7636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health