Brea Decatur Llc

  • 1174859904 NPI Number
  • |
  • Actived: 10 years ago
  • |
According to our database, NPI number for Brea Decatur Llc is 1174859904 and actived since Thursday, October 29 2009. Brea Decatur Llc is an Organization provider specializes in Alzheimer Center (Dementia Center). Provider information was last updated on 10/29/2009.

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Overview of Brea Decatur Llc

  • NPI number: 1962049064
  • Provider type: Organization
  • Specialty: Alzheimer Center (Dementia Center)
  • Active since: 10/29/2009
  • Last updated: 10/29/2009

Primary Scrop of Practice

  • Taxonomy Code: 311500000X
  • Specialty: Alzheimer Center (Dementia Center)
  • License Number: 044-03-241
  • License State: GA

Provider Mailing Address

  • Address: 3131 Elliott Ave Ste 500
    Seattle, WA 98121
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 475 Irvin Ct
    Decatur, GA 30030
  • Phone: 404-299-6600
  • Fax:

Authorized Official

  • Name: Noelle Bickel
  • Position/Title: Licensing Specialist
  • Telephone Number: 206-298-2909

Scope of Practice

  • Taxonomy Code: 311500000X
  • Specialty: Alzheimer Center (Dementia Center)
  • License Number: 044-03-241
  • License State: GA
  • Switch: No

Question & Answers

What is the npi number?

  • Q: What is the npi number for Brea Decatur Llc?
  • A: The npi number for Brea Decatur Llc is 1174859904.
  • Q: What are Brea Decatur Llc's specialties?
  • A: Brea Decatur Llc's specialties are Alzheimer Center (Dementia Center) and different specialities.
  • Q: Where is Brea Decatur Llc business practice location?
  • A: Brea Decatur Llc business practice location is 475 Irvin Ct, Decatur, GA 30030.
  • Q: How to contact Brea Decatur Llc?
  • A: You can contact Brea Decatur Llc via 404-299-6600.
  • Q: What is the authorized official for Brea Decatur Llc?
  • A: The authorized office name is Noelle Bickel with position/title is Licensing Specialist and you can reach the authorized official via phone number 2062982909.