Skilled Nursing Facility Grha

LBN: Skilled Nursing Facility Grha
Skilled Nursing Facility Grha is an health care organization with primary practice located at 3073 Panthersville Road , Decatur GA 30034-3828. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Skilled Nursing Facility Grha can be contacted via phone (770) 212-5454, or through Rowles, John Mark via phone (404) 243-2114.

Contact Information

Primary practice address
3073 Panthersville Road Decatur GA 30034-3828
Fax: (404) 243-2159
Website:
Authorized official contact:
Name: Rowles, John Mark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-044-323 Georgia

Profile Details

NPI number 1659409951
LBN Legal business name Skilled Nursing Facility Grha
DBA Doing business as
Authorized official Rowles, John Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659409951 NPPES
Georgia MEDICAID 00141061A

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