Organization
A CHANGE OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE LYNN HOLLIDAY RN (NURSING CONSULTANT/EXECUTIVE DIRECT)
(404) 680-8851
Entity
Organization
Contact information
Practice address
360 TWIN TENDRILS SW, ATLANTA, GA 30331-7271
(404) 680-8851
Mailing address
360 TWIN TENDRILS SW, ATLANTA, GA 30331-7271
(404) 680-8851
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
RN168077
GA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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