Organization
CORDELE HEALTH AND REHABILITATION CENTER, INC.
Active
Parent organization
PROHEALTH RESOURCE GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROHEALTH RESOURCE GROUP, INC.
Authorized official
MR. RICHARD EDWARD FALLAW SR. (PRESIDENT)
(229) 268-7510
Entity
Organization
Contact information
Practice address
1106 N 4TH ST, CORDELE, GA 31015-3679
(229) 273-1227
(229) 273-0930
Mailing address
1106 N 4TH ST, CORDELE, GA 31015-3679
(229) 273-1227
(229) 273-0930
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-040-1794
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00059892A
—
GA
Enumeration date
09/27/2005
Last updated
10/04/2007
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