Provider Demographics
NPI:1811986656
Name:C & G HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:C & G HEALTHCARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:W
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-477-6161
Mailing Address - Street 1:6450 OLD TUSCALOOSA HWY
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3606
Mailing Address - Country:US
Mailing Address - Phone:205-477-6161
Mailing Address - Fax:205-477-5566
Practice Address - Street 1:6450 OLD TUSCALOOSA HWY
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3606
Practice Address - Country:US
Practice Address - Phone:205-477-6161
Practice Address - Fax:205-477-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10562314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4754070SMedicaid
AL4754070SMedicaid