# REJUVIA HOUSE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871161091
- **Authorized official:** COURTNEY BREANA RATLIFF ADM, MBA, MPM (ADMINISTRATOR & SECRETARY)
- **Authorized official phone:** (843) 680-1694

## Contact information

- **Practice address:** 9160 LAKESIDE WAY, GAINESVILLE, GA 30506-6224
- **Practice address phone:** (770) 205-5353
- **Mailing address:** 9160 LAKESIDE WAY, GAINESVILLE, GA 30506-6224
- **Mailing address phone:** (770) 205-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2021
- **Last updated:** 06/14/2021