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Organization

ROCKDALE MEDICAL CENTER HOME HEALTH

Active
Parent organization
ROCKDALE MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ROCKDALE MEDICAL CENTER
Authorized official
MS. LINDA COLVIN (HOME HEALTH DIRECTOR)
(770) 918-3958
Entity
Organization

Contact information

Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3958
(770) 918-3967
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3958
(770) 918-3967

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
122195
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00752485A
GA
Enumeration date
03/10/2006
Last updated
10/18/2007
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