River Willows Nursing Center, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

11561212 Issued in GA

Legal business name

RIVER WILLOWS NURSING CENTER, INC.

Practice address

206 Main St E
Abbeville, GA 31001-4216

Phone

(478) 783-4988

NPI assigned

Oct 20, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Coley

Title

Medicare Part B Coordinator

Phone

(478) 783-4988

Specialties & licenses 1

Addresses

Other names 1

• River Willows Nursing Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174512206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 INDUSTRIAL BLVD",
            "address_2": "P.O. BOX 1033",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310362106",
            "telephone_number": "478-783-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MAIN ST E",
            "city": "ABBEVILLE",
            "state": "GA",
            "postal_code": "310014216",
            "telephone_number": "478-783-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER WILLOWS NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MEDICARE PART B COORDINATOR",
        "authorized_official_telephone_number": "478-783-4988"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "11561212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Willows Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Faye Madison
• Kristian McRae
• MM Adult Care, Inc.
• Toni Munford, LPN
• River Willows Nursing Center, Inc
• West Wells
• Wilcox County Board of Education

• Durable Medical Equipment & Medical Supplies in Abbeville, GA
• Providers in Abbeville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.