Organization
GLASCOCK COUNTY HEALTH CARE LLC
Active
Other names
Gibson Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
PATRELLE MAJOR (ADMINISTRATOR)
(706) 598-3201
Entity
Organization
Contact information
Practice address
434 BEALL SPRINGS RD, GIBSON, GA 30810-4224
(706) 598-3201
(706) 598-3802
Mailing address
434 BEALL SPRINGS ROAD, GIBSON, GA 30810
(706) 598-5301
(706) 598-3802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-062-1049
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141116A
—
GA
Enumeration date
09/07/2005
Last updated
02/06/2013
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