Gadecatur Snf LLC

NPI #1295210904 in Decatur, Georgia

Provider Information

NPI Number
1295210904
Entity Type
Organization
Organization Name
Gadecatur Snf LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 27, 2018
Last Updated
Jan 19, 2022

Practice Location

Address
304 FIFTH AVE
State
Georgia
ZIP Code
30030-4812
Phone
(404) 373-6231

Authorized Official

Name
MR. GERALD PHILLIP STOLL
Title
MBR
Phone
(917) 836-0436

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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