IndividualActive
Rita Douglas, CEO
NPI 1174938864 · Nursing Home Administrator · Woodstock, GA
Provider details
- NPI number
- 1174938864
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Credential
- CEO
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
313 New Echota Way
Woodstock, GA 30189-7001
Phone: (678) 978-9819
Approximate (ZIP-level) locationGet directions
Mailing address
313 New Echota Way
Woodstock, GA 30189-7001
Registry dates
- Enumerated
- 2014-06-22
- Last updated
- 2014-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.