NPI 1174859904

Brea Decatur LLC

Organisation Assisted Living Facility Decatur, GA

Practice location

Address: 475 Irvin CT, Decatur, GA 30030-1717
Phone: (404) 299-6600
Mailing address: 3131 Elliott Ave STE 500, Seattle, WA 98121-1032

Authorised official

Name: Noelle Bickel
Title: Licensing Specialist
Phone: (206) 298-2909

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 044-03-241 (GA)

Other Assisted Living Facility providers in Georgia →

Alzheimer Center (Dementia Center)

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 044-03-241 (GA)

Other Alzheimer Center (Dementia Center) providers in Georgia →

Registry record

NPI: 1174859904
Entity type: Organization
NPI issued: 29 Oct 2009
Record last updated: 29 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.