Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
Parkside Ellijay
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BROCKMAN (CHIEF EXECUTIVE OFFICER)
(706) 635-7881
Entity
Organization
Contact information
Practice address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
(706) 635-7881
(706) 276-3698
Mailing address
PO BOX 2239, ELLIJAY, GA 30540-0025
(706) 635-7881
(706) 276-3698
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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