Organization · Type 2 NPI

363l00000x

Nursing Facility/Intermediate Care Facility · Atlanta, GA

NPI number 1760856645 Active

Practice location

2171 Peachtree Rd NE, Apt 306
Atlanta, GA 30309-6300

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X363L00000X (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…

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About NPI 1760856645

363l00000x's National Provider Identifier is 1760856645, issued on Nov 16, 2015. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 16, 2015.