Organization · Type 2 NPI
DC Enterprise
Pediatric Skilled Nursing Facility · Clarkesville, GA
NPI number
1235379405
Active
Practice location
285 Wild Iris Ln
Clarkesville, GA 30523-1849
Fax (706) 839-6114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | RN104355 (GA) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1235379405
DC Enterprise's National Provider Identifier is 1235379405, issued on Mar 2, 2009. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Clarkesville, GA. The record was last updated on Mar 2, 2009.