Organization
2801 FELTON AVENUE, L.P.
Active
Other names
Bonterra 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
2801 FELTON DR, EAST POINT, GA 30344-3605
(404) 767-7591
(404) 765-0547
Mailing address
3000 OLD ALABAMA RD STE 119-403, ALPHARETTA, GA 30022-5860
(404) 282-4755
(404) 765-0547
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140357A
—
GA
Enumeration date
08/05/2015
Last updated
12/21/2023
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