Organization
NORTH DECATUR OPERATING COMPANY LLC
Active
Other names
North Decatur Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
2787 N DECATUR RD, DECATUR, GA 30033-5919
(404) 292-0626
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104376490
NORIDIAN
GA
Enumeration date
10/11/2016
Last updated
11/11/2020
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