MEDICARE: OCONEE COUNTY HEALTH & REHABILITATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	1-108-2053	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730582966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCONEE COUNTY HEALTH & REHABILITATION LLC

Provider Business Mailing Address
First Line	:	3450 NEW HIGH SHOALS RD
Second Line	:
City	:	BISHOP
State	:	GA
Zip	:	30621-1305
Country	:	US
Telephone Number	:	706-769-7738
Fax Number	:	706-769-5944

Provider Business Practice Location Address
First Line	:	3450 NEW HIGH SHOALS RD
Second Line	:
City	:	BISHOP
State	:	GA
Zip	:	30621-1305
Country	:	US
Telephone Number	:	706-769-7738
Fax Number	:	706-769-5944

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BRANDI HARRISON
Credential	:
Telephone Number	:	706-769-7738

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	09/28/2023

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