FELLOWSHIP SENIOR DAY CARE CENTER, INC
Alzheimer Center
College Park, Georgia
Provider NPI: 1336286350
Organization Information:Organization Name: FELLOWSHIP SENIOR DAY CARE CENTER, INC
Practice Location:
4530 JANICE DR COLLEGE PARK, GA 30337 US
Tel: 404-766-6498 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4530 JANICE DR COLLEGE PARK, GA 30337 US
Tel: 404-766-6498 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | GA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1013083278 | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin