Organization
MONROE COUNTY NURSING HOME LLC
Active
Other names
Bolingreen Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GERARD (ADMINISTRATOR)
(478) 477-1720
Entity
Organization
Contact information
Practice address
529 BOLINGREEN DR, MACON, GA 31210-5303
(478) 477-1720
(478) 477-1891
Mailing address
529 BOLINGREEN DR, MACON, GA 31210-5303
(478) 477-1720
(478) 477-1891
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-102-1861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00059485A
—
GA
01
—
51000555 002
BCBS
—
Enumeration date
06/20/2006
Last updated
09/28/2023
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