| NPI | 1134215452 |
|---|---|
| Doing Business As | SOUTHWELL HEALTH AND REHABILITATION |
| Doing Business As | COOK SENIOR LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-037-1640) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA 1-037-1640) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-06-24 |