Organization
ATLANTA VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VETA KEYS (REGISTERED NURSE)
(863) 602-4131
Entity
Organization
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 417-1540
Mailing address
5416 ORANGE VALLEY DR, LAKELAND, FL 33813-2649
(863) 602-4131
(863) 709-1520
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
202364
GA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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