Providence Health And Rehabilitation Center, Inc.

NPI 1083660120 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1083660120
Enumeration Date 05/26/2006
Last Updated 10/04/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD E. RICHARD
Position PRESIDENT
Phone (706) 647-6693
Fax (706) 648-9255
Practice Location
1011 S GREEN ST
THOMASTON GA, 30286-4643, US
Phone (706) 647-6693
Fax (706) 648-9255
Business Location
1011 S GREEN ST
THOMASTON GA, 30286-4643, US
Phone (706) 647-6693
Fax (706) 648-9255
Toxanomy
Taxonomy Code 314000000X
License State Georgia
License Number 1-145-1868
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According to our database, Providence Health And Rehabilitation Center, Inc. NPI is 1083660120, taxonomy code is 314000000X and license number is 1-145-1868, license state is located at Georgia. Providence Health And Rehabilitation Center, Inc. physically located at 1011 S Green St, Thomaston GA, 30286-4643. NPI Number 1033115704 has the healthcare provider type.

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1083660120 NPI number is provided on an as is basis without warranty of any kind. 1083660120 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Health And Rehabilitation Center, Inc. are for informational purposes only.