Organization
RIVERSIDE NURSING CENTER OF THOMASTON LLC
Active
Other names
Riverside Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY CLAY (ADMINISTRATOR)
(706) 647-8161
Entity
Organization
Contact information
Practice address
101 OLD TALBOTTON RD, THOMASTON, GA 30286-4640
(706) 647-8161
(706) 646-2875
Mailing address
101 OLD TALBOTTON RD, THOMASTON, GA 30286-4640
(706) 647-8161
(706) 646-2875
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-145-1781
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140346A
—
GA
01
—
51001369 001
BCBS
—
Enumeration date
06/25/2006
Last updated
04/08/2022
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