NPI 1205205473

Andrea Streeter

Practitioner Intellectual Disabilities Intermediate Care Facility Stone Mountain, GA

Practice location

Address: 439 Watson Bay, Stone Mountain, GA 30087-6195
Phone: (770) 465-6858

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 044016471 (GA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Georgia →

Registry record

NPI: 1205205473
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2015
Record last updated: 17 Sep 2015

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.