Organization
GEORGIANA HEALTH AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
206 S PALMER AVE, GEORGIANA, AL 36033-3300
(334) 376-2267
Mailing address
206 S PALMER AVE, GEORGIANA, AL 36033-3300
(334) 376-2267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014227
BCBS ID
AL
05
—
4754540S
—
AL
Enumeration date
05/28/2006
Last updated
10/01/2020
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