DECATUR HEALTH RESOURCES, INC.
Long Term Care Hospital
Decatur, Georgia
Provider NPI: 1114928926
Organization Information:Organization Name: DECATUR HEALTH RESOURCES, INC.
Practice Location:
450 N CANDLER ST DECATUR, GA 30030 US
Tel: 404-501-7534 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:
450 N CANDLER ST DECATUR, GA 30030 US
Tel: 404-501-7534 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | GA | 044-475 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS PROVIDER NUMBER | 001825 | GA | 01 |
000000525A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin