CASSANDRA GILLIAM NPI 1760609895

NPI Information

CASSANDRA GILLIAM is an intermediate care facility mental illness in Decatur, GA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CASSANDRA GILLIAM NPI is 1760609895. The provider is registered as an organization entity type.
The provider Other Name Is None.

The provider's business location address is:

450 WINN WAY
DECATUR, GA
ZIP 30030-715
Phone: (404) 294-0499

The provider's authorized official is Cassandra Shea Gilliam .
The authorized official title is Rn and has the following contact phone number (404) 294-0499.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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