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Organization

FOUR COUNTY HEALTH CARE LLC

Active
Other names
Four County Health and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY BROWN (ADMINISTRATOR)
(229) 887-2021
Entity
Organization

Contact information

Practice address
124 OVERBY DR, RICHLAND, GA 31825-1300
(229) 887-2021
(229) 887-3978
Mailing address
PO BOX 339, RICHLAND, GA 31825-0339
(229) 887-2021
(229) 887-3978

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-128-1712
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00405292A
GA
01
51001238 001
BCBS
Enumeration date
06/04/2006
Last updated
02/12/2026
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