Brandon Wilde LLC
Brandon Wilde LLC is an Assisted Living Facility in Evans, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4275 Owens RdEvans, GA 30809-3066
Phone: (706) 868-3568
Fax: (706) 868-3525
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Assisted Living Facility | Taxonomy 310400000X |
Record details
| NPI number | 1780450924 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Victor — Sr. Vp And Treasurer · (515) 875-4619 |
| Other names | The Pavilion At Brandon Wilde |
| NPI enumerated | November 29, 2023 |
| Last updated in NPPES | November 29, 2023 |
| Certification date | November 29, 2023 |
| Mailing address | 4275 Owens Rd, Evans, GA 30809-3066 |
Other providers in Evans
-
Hunt Holdings, LLC
2822 Knob Hill Farm Rd, Evans, GA 30809-6618 · (706) 860-0541
-
Knob Hill Assisted Living Center, Inc
2818 Knob Hill Farm Rd, Evans, GA 30809-6618 · (706) 860-0556
-
Lcs Brandon Wilde LLC
4275 Owens Rd, Evans, GA 30809 · (706) 868-9800
-
Dr. Levi Hankwale Makala, DVM, MBA, MAT, PHD
4933 Hereford Farm Rd, Evans, GA 30809-6005 · (706) 832-3379