Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Health and Rehabilitation, Cook Senior Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
260 MJ TAYLOR RD, ADEL, GA 31620-3485
(229) 896-8000
Mailing address
260 MJ TAYLOR RD, ADEL, GA 31620-3485
(229) 896-8000
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1-037-1640
GA
314000000X
Skilled Nursing Facility
Primary
1-037-1640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00059826A
—
GA
Enumeration date
10/05/2006
Last updated
06/24/2022
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