Organization
CG MADISON LLC
Active
Other names
Madison Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D. MITCHELL (PRESIDENT)
(850) 386-2522
Entity
Organization
Contact information
Practice address
2481 W US 90, MADISON, FL 32340-4306
(850) 973-4880
(850) 973-2667
Mailing address
2123 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4930
(850) 386-2831
(850) 386-1552
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021346200
—
FL
Enumeration date
08/03/2005
Last updated
09/21/2023
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