Organization · Type 2 NPI
Santa Rosa Clinic, PA
Adult Day Care Clinic/Center · Calhoun, GA
NPI number
1407094212
Active
Practice location
355 Richardson Rd SE Ste 6
Calhoun, GA 30701-3681
Fax (706) 625-2239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | 50406 (GA) |
| Adult Day Care Clinic/Center | 261QA0600X | 53528 (GA) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1407094212
Santa Rosa Clinic, PA's National Provider Identifier is 1407094212, issued on Feb 2, 2009. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Calhoun, GA. The record was last updated on Feb 2, 2009.