Organization · Type 2 NPI

Atlanta Va Medical Center

Nursing Facility/Intermediate Care Facility · Decatur, GA

NPI number 1265477863 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Call (404) 321-6111 Map

Mailing address

6 Fairfield Dr
Ellenwood, GA 30294-2810

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X018134 (PR)

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…

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About NPI 1265477863

Atlanta Va Medical Center's National Provider Identifier is 1265477863, issued on Jun 18, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Decatur, GA. The record was last updated on Nov 4, 2008.