Country Air Villa LLC

NPI #1093317000 in Fairburn, Georgia

Provider Information

NPI Number: 1093317000
Entity Type: Organization
Organization Name: Country Air Villa LLC
Primary Specialty: Nursing Care
Enumeration Date: Nov 13, 2020
Last Updated: Nov 13, 2020

Practice Location

Address: 8835 NORTHCUTT RD
City: Fairburn
State: Georgia
ZIP Code: 30213-2278
Phone: (404) 769-2963

Authorized Official

Name: ANDREA CARGILL
Title: ADMINISTRATOR
Phone: (404) 769-2963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X	Primary

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