Organization · Type 2 NPI
Department of Juvenile Justice
Nursing Facility/Intermediate Care Facility · Gainesville, GA
Practice location
450 Crescent Dr
Gainesville, GA 30501-5079
Fax (770) 531-4587
Mailing address
540 Cresent Dr
Gainesville, GA 30501-5079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | RN069188 (GA) |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
Another provider at this address
About NPI 1255768024
Department of Juvenile Justice's National Provider Identifier is 1255768024, issued on Oct 10, 2013. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Gainesville, GA. The record was last updated on Oct 10, 2013.