| NPI | 1023478294 |
|---|---|
| Other Name | RAYSIDE B |
| Entity Type | Organization |
| Authorized Contact | JENNFER D LOZANO VP Of Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |