ATLANTA VA COMM LIVING CTR (618)    INSTITUTION (4)

Name Value
NAME ATLANTA VA COMM LIVING CTR
STATE GEORGIA
STREET ADDR. 1 1670 CLAIRMONT ROAD
CITY DECATUR
ZIP 30033-4004
OFFICIAL VA NAME ATLANTA NURSING HOME
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DECATUR VA CLC
EFFECTIVE DATE/TIME
  • 2001-12-28 00:00:00
    STATUS:   ACTIVE
    NPI:   1558729343
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 5089AA
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   5089AA