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Contact Information

CHURCH HOME REHABILITATION AND HEALTHCARE, LLC
2470 HWY 41 NORTH
FORT VALLEY, GA31030
 Phone: 478-987-1239
 Fax: 478-988-8273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for CHURCH HOME REHABILITATION AND HEALTHCARE, LLC

NPI # 1083901706
LBN Legal business name CHURCH HOME REHABILITATION AND HEALTHCARE, LLC
Authorized official KATHY GIBBS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2011
Last updated 05/04/2015 - About 11 years ago
Identifiers
GA License # 00140467A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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