Organization
CRISP REGIONAL HOSPITAL, INC.
Active
Other names
CareSouth an Affiliate of Crisp Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RENEE BEARDEN (DIR REV INT)
(229) 276-3146
Entity
Organization
Contact information
Practice address
906 N 5TH ST, SUITE F6, CORDELE, GA 31015
(229) 271-4690
(229) 271-4694
Mailing address
906 N 5TH ST, SUITE F6, CORDELE, GA 31015-3200
(229) 271-4690
(229) 271-4694
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
040175
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000696429A
—
GA
Enumeration date
02/22/2006
Last updated
09/06/2018
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