| NPI | 1609648773 |
|---|---|
| Doing Business As | BROOKSIDE STONE MOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS TERZULLI General Counsl 646-428-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |