Organization
COBBLESTONE REHABILITATION AND HEALTHCARE CENTER, LLC
Active
Parent organization
OLIVE LEAF, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLIVE LEAF, LLC
Authorized official
MICHELLE D MEER (VICE PRESIDENT & SECRETARY)
(629) 626-0000
Entity
Organization
Contact information
Practice address
101 COBBLESTONE TRCE SE, MOULTRIE, GA 31788-7747
(229) 985-3637
(229) 985-3271
Mailing address
101 COBBLESTONE TRCE SE, MOULTRIE, GA 31788-7747
(229) 985-3637
(229) 985-3271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142711A
—
GA
Enumeration date
07/03/2010
Last updated
11/08/2017
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