GEORGIA DEPARTMENT OF HUMAN RESOURCES
Nursing at Myrtle Blvd, Gracewood, GA

License number
Georgia 2121792
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: DR. GAIL C JACKSON M.D.
Title: REGIONAL HOSPITAL ADMINISTRATOR
Phone: (706) 790-2030
Address
Address
100 Myrtle Blvd, Gracewood, GA 30812
National Provider ID: 1083782288
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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