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Organization
RESTORATION HEALTH CARE OF COMMERCE, LLC
Active
Organization
RESTORATION HEALTH CARE OF COMMERCE, LLC
Active
Other names
Northridge Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WISE (DIRECTOR)
(706) 335-1101
Entity
Organization
Contact information
Practice address
70 MEDICAL CENTER DRIVE, COMMERCE, GA 30529
(706) 335-1000
(706) 335-7701
Mailing address
70 MEDICAL CENTER DRIVE, COMMERCE, GA 30529
(706) 335-1120
(706) 335-6033
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
NULL
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
NULL
282NR1301X
Rural Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
11/14/2006
Last updated
08/12/2020
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