Organization
A G RHODES HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEKE GAVIN CATEAU N.H.A. (ADMINISTRATOR)
(404) 688-6731
Entity
Organization
Contact information
Practice address
350 BOULEVARD S.E., ATLANTA, GA 30312-3352
(404) 688-6731
(404) 659-8639
Mailing address
350 BOULEVARD SE, ATLANTA, GA 30312
(404) 688-6731
(404) 659-8639
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
GA
314000000X
Skilled Nursing Facility
1060142
GA
376G00000X
Nursing Home Administrator
Primary
—
GA
Other
Enumeration date
06/10/2005
Last updated
10/06/2016
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