Organization
MACON OPERATING LLC
Active
Other names
Fountain Blue Rehab and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MENDEL BRECHER (MANAGER)
(718) 484-8888
Entity
Organization
Contact information
Practice address
3051 WHITESIDE RD, MACON, GA 31216-6209
(478) 788-1421
Mailing address
5308 13TH AVE STE 273, BROOKLYN, NY 11219-3804
(718) 484-8888
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/30/2017
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