Organization
RESTORATION HEALTHCARE OF COMMERCE, LLC
Active
Other names
BJC Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN N CLAPP (PRESIDENT)
(865) 607-9923
Entity
Organization
Contact information
Practice address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1000
(706) 335-7701
Mailing address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1000
(706) 335-7701
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1-078-0292
GA
314000000X
Skilled Nursing Facility
1-078-0292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059331A
—
GA
Enumeration date
04/29/2010
Last updated
04/29/2010
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