Nue Beginnings Residence Home

NPI 1053540260 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1053540260
Enumeration Date 07/09/2009
Last Updated 03/04/2016
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SANDRA SANDRA
Position PROGRAM MANAGER
Phone (770) 485-4274
Fax (770) 485-9540
Practice Location
5183 SUGGS ST
POWDER SPRINGS GA, 30127-3029, US
Phone (770) 485-4274
Fax (770) 485-9540
Business Location
5183 SUGGS ST
POWDER SPRINGS GA, 30127-3029, US
Phone (770) 485-4274
Fax (678) 324-7833
Toxanomy
Taxonomy Code 315P00000X
License State Georgia
License Number 033-01-293-9
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According to our database, Nue Beginnings Residence Home NPI is 1053540260, taxonomy code is 315P00000X and license number is 033-01-293-9, license state is located at Georgia. Nue Beginnings Residence Home physically located at 5183 Suggs St, Powder Springs GA, 30127-3029. NPI Number 1033115704 has the healthcare provider type.

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1053540260 NPI number is provided on an as is basis without warranty of any kind. 1053540260 is maintained by the National Plan & Provider Enumeration System. The contents of Nue Beginnings Residence Home are for informational purposes only.