Organization
MCDUFFIE COUNTY NURSING HOME LLC
Active
Other names
Thomson Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE M. PITTMAN (ADMINISTRATOR)
(706) 595-5574
Entity
Organization
Contact information
Practice address
511 MOUNT PLEASANT RD, THOMSON, GA 30824-8140
(706) 595-5574
(706) 595-6342
Mailing address
PO BOX 1080, THOMSON, GA 30824-1080
(706) 595-5574
(706) 595-6342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-138-1715
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00143261A
—
GA
01
—
51001187 001
BCBS
—
Enumeration date
06/03/2006
Last updated
11/02/2009
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