Organization
ALTRUS LLC
Active
Other names
Dynamic Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BONACCORSI (CHIEF LEGAL OFFICER)
(312) 762-9999
Entity
Organization
Contact information
Practice address
3363 LUXEMBOURG CIR, DECATUR, GA 30034-5418
(912) 354-6011
Mailing address
33 S STATE ST FL 5, CHICAGO, IL 60603-2804
(312) 762-9999
(833) 561-2574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124965X
—
GA
Enumeration date
11/27/2015
Last updated
09/12/2022
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