Organization
CHERRY BLOSSOM HEALTH CARE CENTER LLC
Active
Other names
Cherry Blossom Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH AUSTIN IV (ADMINISTRATOR)
(478) 781-7553
Entity
Organization
Contact information
Practice address
3520 KENNETH DR, MACON, GA 31206-3824
(478) 781-7553
(478) 781-0243
Mailing address
3520 KENNETH DR, MACON, GA 31206-3824
(478) 781-7553
(478) 781-0243
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-011-1705
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00413509A
—
GA
01
—
51001934 001
BCBS
—
Enumeration date
06/02/2006
Last updated
03/13/2026
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