Gastone Mountain Snf LLC
NPI #1174008882 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1174008882
- Entity Type
- Organization
- Organization Name
- Gastone Mountain Snf LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 27, 2018
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 5160 SPRINGVIEW AVE
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-1616
- Phone
- (770) 498-4144
Authorized Official
- Name
- MR. GERALD PHILLIP STOLL
- Title
- MBR
- Phone
- (917) 836-0436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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