Organization · Type 2 NPI
Icfmr at Georgia Regional Hospital Atlanta
Intellectual Disabilities Intermediate Care Facility · Decatur, GA
NPI number
1841328135
Active
Practice location
3073 Panthersville Road
Decatur, GA 30034-3828
Fax (404) 243-2159
Mailing address
P.o. Box 370407
Decatur, GA 30034-3828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | None listed |
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 2044856 (GA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
10 other providers at this address
- Ga Department of Human ResourcesPsychiatric Hospital Decatur, GA NPI 1730122482
- Georgia Regional Hospital PharmacyPharmacy Decatur, GA NPI 1881728749
- Skilled Nursing Facility GrhaSkilled Nursing Facility Decatur, GA NPI 1659409951
- Delquis Rafael Mendoza, MDPsychiatry Physician Decatur, GA NPI 1922056902
- Dene Ruth Bellamy, CNS/PMH-NPAdult Psychiatric/Mental Health Clinical Nurse Specialist Decatur, GA NPI 1497035380
- Donald W. Smith, PhDClinical Psychologist Decatur, GA NPI 1659314847
- Katina M. New, FNP-CNurse Practitioner Decatur, GA NPI 1821287046
- Scott John Schoenherr, PhDClinical Psychologist Decatur, GA NPI 1598713448
- Steven C. Stout, MD PHDPsychiatry Physician Decatur, GA NPI 1730378951
- Verona D. Lawson, MDPsychiatry Physician Decatur, GA NPI 1942320031
Other intellectual disabilities intermediate care facility providers in Decatur
About NPI 1841328135
Icfmr at Georgia Regional Hospital Atlanta's National Provider Identifier is 1841328135, issued on Mar 1, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Decatur, GA. The record was last updated on Aug 18, 2009.