DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEPARTMENT OF JUVENILE JUSTICE

Active Organization

Nursing Facility/Intermediate Care Facility · GAINESVILLE, GA

Registration Details

NPI Number
1255768024
Provider Type
Organization
NPI Issued
Oct 10, 2013 (12.529641144092 yrs)
Last Updated
Oct 10, 2013
License
RN069188 (GA)

Practice Information

Address
450 CRESCENT DR
GAINESVILLE, GA, 305015079
Browse GA providers · Browse ZIP 30501
Phone
7705316083
Fax
7705314587
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.