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Organization

460 AUBURN AVENUE, L.P.

Active
Other names
Legacy Transitional Care and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DAREN DOUSTON (CFO)
(404) 282-4755
Entity
Organization

Contact information

Practice address
460 AUBURN AVE NE, ATLANTA, GA 30312-1504
(404) 523-1613
(404) 681-4536
Mailing address
3000 OLD ALABAMA RD STE 119-403, ALPHARETTA, GA 30022-5860
(404) 282-4755
(404) 681-4536

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
GA

Other

Enumeration date
08/05/2015
Last updated
12/21/2023
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