The Potter'S House of Wrightsville
Organization Active NPI Assisted Living Facility · Wrightsville, GA
NPI 1124146014 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124146014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- THE POTTER'S HOUSE OF WRIGHTSVILLE
- Practice address
- 312 N Marcus St
Wrightsville, GA 31096-1012 - Phone
- (478) 864-0400
- Fax
- (478) 864-0442
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Beatrice Dixon, RN
- Title
- Administrator
- Phone
- (478) 864-0400
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | GA | Yes |
Addresses
Primary practice location
312 N Marcus St
Wrightsville, GA 31096-1012
Mailing address
312 N Marcus St
Wrightsville, GA 31096-1012
Phone (478) 864-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0791491B | Medicaid | GA | |
| 0791491A | Medicaid | GA |
Other providers in Wrightsville, GA
- Robert Daniel Shuman III
- Erica S Simmons Alligood
- Stal Partners LLC
- Erin Foster Sumner
- Joseph Carl Sumner
- Jessica Harper Thigpen
- Washington County Internal Medicine, P.C.
- Latoshia S. Wells
- Allison D Williams
- Natisha Shontrell Williams
All providers in Wrightsville, GA · Assisted Living Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.