OrganizationActive
Icfmr at Georgia Regional Hospital Atlanta
NPI 1841328135 · Intellectual Disabilities Intermediate Care Facility · Decatur, GA
Provider details
- NPI number
- 1841328135
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sonny Slate, Chief Operation Officer(404) 243-2121
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Practice location
3073 Panthersville Road
Decatur, GA 30034-3828
Phone: (404) 243-2158
Fax: (404) 243-2159
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 370407
Decatur, GA 30034-3828
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.