Organization
THOMASVILLE HEALTH CARE AND REHABILITATION CENTER
Active
Other names
Thomasville Health Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE O GATLIN (ADMINISTRATOR)
(334) 636-5614
Entity
Organization
Contact information
Practice address
1425 MOSLEY DR, THOMASVILLE, AL 36784-3334
(334) 636-5614
(334) 636-1021
Mailing address
1425 MOSLEY DR, THOMASVILLE, AL 36784-3334
(334) 636-5614
(334) 636-1021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12500
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000028598
MEDICAID DME
AL
01
—
010584
BCBS
AL
05
—
4754390S
—
AL
Enumeration date
08/01/2006
Last updated
01/08/2013
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