Organization
A. G. RHODES HOME, COBB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELA DAUGHERTY (ADMINISTRATOR)
(770) 427-8727
Entity
Organization
Contact information
Practice address
900 WYLIE RD SE, MARIETTA, GA 30067-7857
(770) 427-8727
(770) 427-3937
Mailing address
900 WYLIE RD SE, MARIETTA, GA 30067-7857
(770) 427-8727
(770) 427-3937
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-033-1268
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00493292A
—
GA
Enumeration date
07/05/2005
Last updated
03/14/2012
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