- Facility Name
- LCS BRANDON WILDE LLC
- Type / Classification
- Skilled Nursing Facility
- Address
- 4275 OWENS RD, EVANS, GA 30809
- Phone Number
- (706) 868-9800
- NPI Number
- 1821580440
- Authorized Official
- DIANE BRIDGEWATER (Manager of Managing Member)
- Enumeration Date
- 2018-05-30