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363l00000x
Nursing Facility/Intermediate Care Facility in Atlanta, Georgia
NPI 1760856645

363l00000x is a Nursing Facility/Intermediate Care Facility based in Atlanta, GA. 363l00000x practices in Atlanta, GA. The NPI Number for 363l00000x is 1760856645 and holds a License No. 363L00000X (Georgia).

The current practice location address for 363l00000x is 2171 Peachtree Rd Ne, Atlanta, GA and can be reached out via phone at 678-464-9424.

Location: 2171 Peachtree Rd Ne, Atlanta, GA, 30309-6300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760856645
Provider Name
363l00000x
Credential
Provider Entity Type
Organization
Address
2171 Peachtree Rd Ne, Atlanta, GA, 30309-6300
Phone Number
678-464-9424
Fax Number
Provider Enumeration Date
11/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2171 Peachtree Rd Ne
City
Atlanta
State
Georgia
Zip
30309-6300
Phone Number
678-464-9424
Fax Number
person
Provider Business Mailing Address Details
Address
2171 Peachtree Rd Ne
City
Atlanta
State
Georgia
Zip
30309-6300
Phone Number
678-464-9424
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
363L00000X (Georgia)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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