| NPI | 1750370888 |
|---|---|
| Doing Business As | HERITAGE INN OF STATESBORO |
| Entity Type | Organization |
| Authorized Contact | DEBORAH COLEY Medicare Part B Coordinator 478-783-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 1016601) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |