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NPI Code Detail

MEDICARE: A. G. RHODES HOME INC. AT WESLEY WOODS

MEDICARE: A. G. RHODES HOME INC. AT WESLEY WOODS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1-044-1421GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821091463
Entity Type Code : Organization
Provider Name (Legal Business Name) : A. G. RHODES HOME INC. AT WESLEY WOODS
Provider Business Mailing Address
First Line : 1819 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4021
Country : US
Telephone Number : 404-315-0900
Fax Number : 678-420-2027
Provider Business Practice Location Address
First Line : 1819 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4021
Country : US
Telephone Number : 404-315-0900
Fax Number : 678-420-2027
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. GREG T HEATH
Credential : NHA
Telephone Number : 404-315-0900
Provider Enumeration Date : 05/27/2005
Last Update Date : 02/01/2010

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Directions to “A. G. RHODES HOME INC. AT WESLEY WOODS ” Practice Location

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