Organization
TY COBB HEALTHCARE SYSTEM
Active
Other names
Brown Memorial Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A MASSEY (CONTROLLER)
(706) 245-1290
Entity
Organization
Contact information
Practice address
545 COOK STREET, ROYSTON, GA 30662-0589
(706) 245-1900
(706) 245-1918
Mailing address
PO BOX 589, ROYSTON, GA 30662-0589
(706) 245-1290
(706) 245-1411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-059-485
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00059562A
—
GA
Enumeration date
08/24/2006
Last updated
10/30/2007
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