NPI | 1144383407 |
---|---|
Other Name | NEVINS 4 |
Entity Type | Organization |
Authorized Contact | JENNIFER D LOZANO Director Of Revenue Cycle 404-968-2663 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-060-174) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-060-174) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2015-09-19 |