Organization · Type 2 NPI
Brea Decatur LLC
Assisted Living Facility · Decatur, GA
NPI number
1174859904
Active
Practice location
475 Irvin Ct
Decatur, GA 30030-1717
Mailing address
3131 Elliott Ave Ste 500
Seattle, WA 98121-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 044-03-241 (GA) |
| Alzheimer Center (Dementia Center) | 311500000X | 044-03-241 (GA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
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About NPI 1174859904
Brea Decatur LLC's National Provider Identifier is 1174859904, issued on Oct 29, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Decatur, GA. The record was last updated on Oct 29, 2009.