NPI 1265963144

Cplace Decatur Snf LLC

Organisation Skilled Nursing Facility Decatur, GA

Practice location

Address: 304 Fifth Ave, Decatur, GA 30030-4812
Phone: (404) 373-6231
Mailing address: 24641 US Highway 19 N, Clearwater, FL 33763-5007

Authorised official

Name: Victor M Marcos
Title: Cfo
Phone: (917) 209-1431

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1-044-1435 (GA)

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1265963144
Entity type: Organization
NPI issued: 23 Mar 2017
Record last updated: 23 Mar 2017

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.