Individual provider · Type 1 NPI
Andrea Streeter
Intellectual Disabilities Intermediate Care Facility · Stone Mountain, GA
NPI number
1205205473
Active
Practice location
439 Watson Bay
Stone Mountain, GA 30087-6195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 044016471 (GA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1205205473
Andrea Streeter's National Provider Identifier is 1205205473, issued on Sep 17, 2015. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Sep 17, 2015.