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Organization
OCONEE HEALTH CARE CENTER LLC
Active
Organization
OCONEE HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAN SIDDIQUI MD (CEO)
(478) 972-0277
Entity
Organization
Contact information
Practice address
535 COLISEUM DR, MACON, GA 31217-0104
(478) 972-0277
Mailing address
PO BOX 26698, MACON, GA 31221-6698
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
11/08/2012
Last updated
11/26/2012
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