Organization
NW GA REGIONAL HOSPITAL ICF MR
Active
Parent organization
STATE OF GEORGIA
Other names
State of Georgia
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF GEORGIA
Authorized official
TAMMY VAUGHN (PATIENT ACCOUNTS OFFICER)
(706) 295-6298
Entity
Organization
Contact information
Practice address
1305 REDMOND CIR NW, ROME, GA 30165-1345
(706) 295-6298
(706) 802-5400
Mailing address
1305 REDMOND CIR NW, ROME, GA 30165-1345
(706) 295-6298
(706) 802-5400
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
01/29/2008
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