Brea Decatur Llc

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