Organization
CHURCH HOME REHABILITATION AND HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY GIBBS RN, LTC ADM. (ADMINISTRATOR)
(478) 987-1239
Entity
Organization
Contact information
Practice address
2470 HWY 41 NORTH, FORT VALLEY, GA 31030
(478) 987-1239
(478) 988-8273
Mailing address
PO BOX 1376, PERRY, GA 31069-1376
(478) 987-1239
(478) 988-8273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00140467A
GA
Other
Enumeration date
07/01/2011
Last updated
05/04/2015
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