Organization
MANOR CARE REHABILITATION CENTER OF DECATUR GA, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Decatur)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
2722 N DECATUR RD, DECATUR, GA 30033-5910
(404) 296-5440
(404) 296-0753
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-044-1774
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000159266A
—
GA
Enumeration date
05/28/2006
Last updated
02/13/2023
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