363L00000X
363L00000X is a Nursing Facility/Intermediate Care Facility in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2015.
- Licensed in
- GA
- In the registry since
- 2015
Practice location Address checks out
2171 Peachtree Rd NE Apt 306Atlanta, GA 30309-6300
Phone: (678) 464-9424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 363L00000X (GA) |
|---|
Record details
| NPI number | 1760856645 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anetha Peterson — Nurse Practitioner · (678) 464-9424 |
| NPI enumerated | November 16, 2015 |
| Last updated in NPPES | November 16, 2015 |
| Mailing address | 2171 Peachtree Rd Ne, Apt 306, Atlanta, GA 30309-6300 |
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