Organization
BLECKLEY NH, LLC
Active
Other names
Bryant Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SHMAYS (SECRETARY)
(770) 650-7086
Entity
Organization
Contact information
Practice address
601 6TH ST SE, COCHRAN, GA 31014-9534
(478) 934-7682
Mailing address
601 6TH ST SE, COCHRAN, GA 31014-9534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-012-2016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142601A
—
GA
Enumeration date
05/02/2013
Last updated
09/27/2013
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