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Evelyn Anita Anderson
Pediatric Skilled Nursing Facility in Grantville, Georgia
NPI 1295342731

Evelyn Anita Anderson is a Pediatric Skilled Nursing Facility based in Grantville, GA and is specialized in Nursing Care, Pediatric. Evelyn Anita Anderson practices in Grantville, GA. The NPI Number for Evelyn Anita Anderson is 1295342731 and holds a License No. 113357 (Georgia).

The current practice location address for Evelyn Anita Anderson is 202 Charlie Fuller Rd, Grantville, GA and can be reached out via phone at 770-927-2290 and via fax at 404-522-2935.

Location: 202 Charlie Fuller Rd, Grantville, GA, 30220-2801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295342731
Provider Name
Evelyn Anita Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 Charlie Fuller Rd, Grantville, GA, 30220-2801
Phone Number
770-927-2290
Fax Number
404-522-2935
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
202 Charlie Fuller Rd
City
Grantville
State
Georgia
Zip
30220-2801
Phone Number
770-927-2290
Fax Number
404-522-2935
person
Provider Business Mailing Address Details
Address
202 Charlie Fuller Rd
City
Grantville
State
Georgia
Zip
30220-2801
Phone Number
770-927-2290
Fax Number
404-522-2935
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
113357 (Georgia)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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