NPI 1326392432

Extending Community Services Foundation

Organisation Intellectual Disabilities Intermediate Care Facility Decatur, GA

Practice location

Address: 3630 Emerald PT, Decatur, GA 30034-5739
Phone: (678) 750-3273

Authorised official

Name: Latasha D Guy
Title: Owner/Operator
Phone: (404) 520-7308

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Georgia →

Registry record

NPI: 1326392432
Entity type: Organization
NPI issued: 29 Oct 2012
Record last updated: 29 Oct 2012

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.