Organization
ATLANTA VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YLBA M HOOKER RN (REGISTERED NURSE)
(404) 321-6111
Entity
Organization
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
6 FAIRFIELD DR, ELLENWOOD, GA 30294-2810
(678) 833-5759
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
018134
PR
Other
Enumeration date
06/18/2006
Last updated
11/04/2008
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