Organization
CLINCH HEALTHCARE LLC
Active
Other names
Clinch HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH BROGDON (MANAGER)
(770) 650-8773
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
1-032-1862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142106A
—
GA
Enumeration date
06/07/2006
Last updated
09/29/2008
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