DEPARTMENT OF JUVENILE JUSTICE
Organization (NPI-2)
Active
Nursing Facility/Intermediate Care Facility
Provider Information
- NPI Number
1255768024- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 450 CRESCENT DR, GAINESVILLE, GA, 305015079
- Phone
- (770) 531-6083
- Fax
- (770) 531-4587
Specialties & Taxonomies
Nursing Facility/Intermediate Care Facility
Primary License: GA #RN069188