Organization
NORTH GEORGIA CARE SERVICES, INC
Active
Other names
FIFTH AVENUE HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J. MORRIS III (CHAIRMAN OF BOARD)
(706) 378-0940
Entity
Organization
Contact information
Practice address
505 N 5TH AVE SW, ROME, GA 30165-2822
(706) 291-0521
(706) 234-3508
Mailing address
505 N 5TH AVE SW, ROME, GA 30165-2822
(706) 291-0521
(706) 234-3508
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-057-1743
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140984A
—
GA
Enumeration date
08/02/2005
Last updated
12/12/2018
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