Provider Demographics
NPI:1528027307
Name:SHARE SPEECH, HEARING AND REHAB. ENTERPRISES OF COASTAL GA., INC.
Entity type:Organization
Organization Name:SHARE SPEECH, HEARING AND REHAB. ENTERPRISES OF COASTAL GA., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARAY
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-264-3141
Mailing Address - Street 1:2228 STARLING ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4200
Mailing Address - Country:US
Mailing Address - Phone:912-264-3141
Mailing Address - Fax:913-264-6190
Practice Address - Street 1:2228 STARLING ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4200
Practice Address - Country:US
Practice Address - Phone:912-264-3141
Practice Address - Fax:913-264-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty