OrganizationActive
Department of Juvenile Justice
NPI 1255768024 · Nursing Facility/Intermediate Care Facility · Gainesville, GA
Provider details
- NPI number
- 1255768024
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Alma Garrett, Fnpc
- License
- RN069188 (GA)
Practice location
450 Crescent Dr
Gainesville, GA 30501-5079
Phone: (770) 531-6083
Fax: (770) 531-4587
Mailing address
540 Cresent Dr
Gainesville, GA 30501-5079
Registry dates
- Enumerated
- 2013-10-10
- Last updated
- 2013-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.