Organization
COLISEUM DRIVE ASSOCIATES LLC
Active
Other names
Macon Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN DOUSTON (CHIEF FINANCIAL OFFICER)
(404) 282-4755
Entity
Organization
Contact information
Practice address
505 COLISEUM DR, MACON, GA 31217-3840
(678) 987-3819
Mailing address
3000 OLD ALABAMA RD STE 119-403, ALPHARETTA, GA 30022-5860
(404) 282-4755
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
12/21/2023
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