Bleckley NH, LLC

Organization Active NPI Skilled Nursing Facility · Cochran, GA

NPI 1669817797 · NPPES record last updated Sep 27, 2013

Key facts

NPI
1669817797
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
1-012-2016 (GA)
Legal business name
BLECKLEY NH, LLC
Practice address
601 6TH St SE
Cochran, GA 31014-9534
Phone
(478) 934-7682
NPI assigned
May 2, 2013
Organization subpart
No

Authorized official

Name
Nancy Shmays
Title
Secretary
Phone
(770) 650-7086

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-012-2016 GA Yes

Addresses

Primary practice location

601 6TH St SE
Cochran, GA 31014-9534

Mailing address

601 6TH St SE
Cochran, GA 31014-9534

Other identifiers

IdentifierTypeStateIssuer
000142601AMedicaidGA

Other names

  • Bryant Health and Rehabilitation Center Doing business as

Other providers in Cochran, GA

All providers in Cochran, GA · Skilled Nursing Facility in Georgia

Sources for this page

Verify at the official NPI Registry.