Greenridge Community Integration Home

NPI 1023235587 - Clinic/Center - 261QM0801X

NPI Details
NPI 1023235587
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RALPH RALPH
Position MANAGER
Phone (404) 586-9230
Fax
Practice Location
508 GREENRIDGE CIR
STONE MOUNTAIN GA, 30083, US
Phone (404) 586-9230
Fax
Business Location
508 GREENRIDGE CIR
STONE MOUNTAIN GA, 30083, US
Phone (404) 586-9230
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Georgia
License Number 044232
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According to our database, Greenridge Community Integration Home NPI is 1023235587, taxonomy code is 261QM0801X and license number is 044232, license state is located at Georgia. Greenridge Community Integration Home physically located at 508 Greenridge Cir, Stone Mountain GA, 30083. NPI Number 1033115704 has the healthcare provider type.

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1023235587 NPI number is provided on an as is basis without warranty of any kind. 1023235587 is maintained by the National Plan & Provider Enumeration System. The contents of Greenridge Community Integration Home are for informational purposes only.