Organization
CLINCH HEALTHCARE, LLC
Active
Other names
Clinch Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY TOLSON (MANAGER)
(404) 644-0471
Entity
Organization
Contact information
Practice address
390 SWEAT ST, HOMERVILLE, GA 31634-2302
(912) 487-5328
(912) 487-2460
Mailing address
390 SWEAT ST, HOMERVILLE, GA 31634-2302
(912) 487-5328
(912) 487-2460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10321940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142106A
—
GA
Enumeration date
08/05/2008
Last updated
08/05/2008
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