PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC

RIVERDALE, GA
NPI1679946669
Entity TypeOrganization
Authorized ContactCHRISTOPHER DOAN
Chief Compliance Counsel
909-235-4307
Organization Subpart ?Yes
Primary Taxonomy273Y00000X Rehabilitation Unit
Enumeration Date2015-11-12
Last Update Date2015-11-12
Business Address
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 770-991-8000
Mailing Address
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 770-991-8000
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