NPI 1841328135

Icfmr at Georgia Regional Hospital Atlanta

Organisation Intellectual Disabilities Intermediate Care Facility Decatur, GA

Practice location

Address: 3073 Panthersville Road, Decatur, GA 30034-3828
Phone: (404) 243-2158
Fax: (404) 243-2159
Mailing address: P.O. Box 370407, Decatur, GA 30034-3828

Authorised official

Name: Sonny Slate
Title: Chief Operation Officer
Phone: (404) 243-2121

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2044856 (GA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Georgia →

Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1841328135
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 18 Aug 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.