Organization
GOODWILL HEALTHCARE & REHAB LLC
Active
Other names
Goodwill Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE JONES (COO)
(423) 648-6750
Entity
Organization
Contact information
Practice address
4373 HOUSTON AVE, MACON, GA 31206-2759
(478) 784-1500
(478) 784-7638
Mailing address
4373 HOUSTON AVE, MACON, GA 31206-2759
(478) 784-1500
(478) 784-7638
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141193A
—
GA
Enumeration date
01/29/2013
Last updated
06/20/2013
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