Organization
BAINBRIDGE OPERATOR LLC
Active
Other names
Bainbridge Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A. GRANTHAM (ADMINISTRATOR)
(229) 243-0931
Entity
Organization
Contact information
Practice address
1155 W COLLEGE ST, BAINBRIDGE, GA 39819-6400
(229) 243-0931
(229) 246-9284
Mailing address
1155 W COLLEGE ST, BAINBRIDGE, GA 39819-6400
(229) 243-0931
(229) 246-9284
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-043-1146
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000258915A
—
GA
Enumeration date
03/28/2008
Last updated
01/23/2015
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