Provider Demographics
NPI:1831173996
Name:ACCORD NURSING CENTER, INC.
Entity type:Organization
Organization Name:ACCORD NURSING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-523-5102
Mailing Address - Street 1:303 N FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30428-0869
Mailing Address - Country:US
Mailing Address - Phone:912-523-5102
Mailing Address - Fax:912-523-5704
Practice Address - Street 1:303N FIFTH ST
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30428-0869
Practice Address - Country:US
Practice Address - Phone:912-523-5102
Practice Address - Fax:912-523-5704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALTC11531798314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11-5703Medicare ID - Type Unspecified