Brea Smyrna LLC

NPI #1699001420 in Smyrna, Georgia

Provider Information

NPI Number
1699001420
Entity Type
Organization
Organization Name
Brea Smyrna LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BREA EMERITUS LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Oct 29, 2009
Last Updated
Oct 29, 2009

Practice Location

Address
4375 BEECH HAVEN TRL SE
City
Smyrna
State
Georgia
ZIP Code
30080-6601
Phone
(770) 803-0100

Authorized Official

Name
NOELLE BICKEL
Title
LICENSING SPECIALIST
Phone
(206) 298-2909

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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