Pugh'S Personal Care Home

Organization Active NPI Physical Disabilities Residential Treatment Facility · Donalsonville, GA

NPI 1780122010 · NPPES record last updated Feb 7, 2017

Key facts

NPI
1780122010
Entity type
Organization (NPI type 2)
Primary specialty
Physical Disabilities Residential Treatment Facility 320700000X
License
PCH008762 (GA)
Legal business name
PUGH'S PERSONAL CARE HOME
Practice address
5834 St Matthews St John Church Rd
Donalsonville, GA 39845-3550
Phone
(229) 524-1015
Fax
(229) 524-1120
NPI assigned
Feb 7, 2017
Organization subpart
No

Authorized official

Name
Mrs. Betty F Pugh
Title
Administrator
Phone
(229) 254-0546

National Provider Directory

Locations

5834 St Matthews St John Church Rd
Donalsonville, GA 39845
Phone (229) 524-1015

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X PCH008762 GA Yes

Addresses

Primary practice location

5834 St Matthews St John Church Rd
Donalsonville, GA 39845-3550

Mailing address

5834 St Matthew St John Church Rd
Donalsonville, GA 39845
Phone (229) 524-1015

Other providers in Donalsonville, GA

All providers in Donalsonville, GA · Physical Disabilities Residential Treatment Facility in Georgia

Sources for this page

Verify at the official NPI Registry.