Organization
BRYANT HEALTH AND REHABILITATION CENTER, INC.
Active
Parent organization
PROHEALTH RESOURCE GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROHEALTH RESOURCE GROUP, INC.
Authorized official
MR. RICHARD E. FALLAW SR. (PRESIDENT)
(229) 268-7510
Entity
Organization
Contact information
Practice address
601 6TH ST SE, COCHRAN, GA 31014-1433
(478) 934-7682
(478) 937-1558
Mailing address
PO BOX 476, 601 6TH ST., COCHRAN, GA 31014-0476
(478) 934-7682
(478) 937-1558
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-012-1867
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142601A
—
GA
01
—
51001233001
BLUE CROSS/BLUE SHIELD
—
Enumeration date
05/28/2006
Last updated
10/04/2007
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