NPI 1295210904

Gadecatur Snf LLC

Organisation Skilled Nursing Facility Decatur, GA

Practice location

Address: 304 Fifth Ave, Decatur, GA 30030-4812
Phone: (404) 373-6231
Mailing address: 78 Birchwood Dr, Huntingtn Sta, NY 11746-3922

Authorised official

Name: Gerald Phillip Stoll
Title: Mbr
Phone: (917) 836-0436

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1295210904
Entity type: Organization
NPI issued: 27 Sep 2018
Record last updated: 19 Jan 2022

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.