Organization
DADE HEALTH & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JACKSON MORRIS III (MANAGING MEMBER)
(706) 378-0940
Entity
Organization
Contact information
Practice address
1234 HIGHWAY 301, TRENTON, GA 30752-4727
(706) 657-4171
(706) 657-6799
Mailing address
1234 HIGHWAY 301, TRENTON, GA 30752-4727
(706) 657-4171
(706) 657-6799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-041-1809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142865A
—
GA
Enumeration date
07/29/2005
Last updated
08/22/2020
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