Providence Health and Rehabilitation Center, Inc.

NPI #1083660120 in Thomaston, Georgia

Provider Information

NPI Number
1083660120
Entity Type
Organization
Organization Name
Providence Health and Rehabilitation Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
PROHEALTH RESOURCE GROUP, INC.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 26, 2006
Last Updated
Oct 4, 2007

Practice Location

Address
1011 S GREEN ST
State
Georgia
ZIP Code
30286-4643
Phone
(706) 647-6693

Authorized Official

Name
MR. RICHARD E. FALLAW SR.
Title
PRESIDENT
Phone
(229) 268-7510

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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