NPI | 1942345459 |
---|---|
Other Name | HOLLOWAY STREET HOME |
Entity Type | Organization |
Authorized Contact | JENNFER D LOZANO Director Of Revenue Cycle 404-364-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2007-02-21 |
Last Update Date | 2015-10-23 |