Organization
C.R. OF LAGRANGE, LLC
Active
Other names
LaGrange Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MANAGER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
2111 W POINT RD, LAGRANGE, GA 30240-4047
(706) 812-9293
(706) 882-9506
Mailing address
2111 W POINT RD, LAGRANGE, GA 30240-4047
(706) 812-9293
(706) 882-9506
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000270245A
—
GA
Enumeration date
03/27/2015
Last updated
03/27/2015
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