Organization · NPI-2
A G Rhodes Home INC
Nursing Home Administrator · Atlanta, GA
NPI number1386648962
StatusActive
Last updated in NPPESOct 6, 2016
Details
- NPI
- 1386648962
- Entity type
- Organization (NPI-2)
- Legal business name
- A G Rhodes Home INC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2005
- Last updated
- Oct 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | – | GA | Yes |
| 314000000X | Skilled Nursing Facility | 1060142 | GA | |
| 163WA2000X | Registered Nurse, Administrator | – | GA |
Practice location
350 Boulevard S.E.Atlanta, GA 30312-3352
Phone 404-688-6731 · Fax 404-659-8639
Mailing address
350 Boulevard SeAtlanta, GA 30312
Phone 404-688-6731 · Fax 404-659-8639
Authorized official
Deke Gavin Cateau
Administrator
4046886731
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