Organization
WARNER ROBINS REHABILITATION CENTER, LLC
Active
Other names
Warner Robins Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. MARK CRONQUIST (MANAGER)
(404) 574-2100
Entity
Organization
Contact information
Practice address
1601 ELBERTA RD, WARNER ROBINS, GA 31093-1515
(478) 992-2241
Mailing address
5887 GLENRIDGE DR, SUITE 150, ATLANTA, GA 30328-5574
(404) 574-2100
(404) 574-2105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-076-1846
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141303A
—
GA
05
—
00141303A
—
GA
Enumeration date
06/12/2006
Last updated
02/11/2016
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