OrganizationActive
Enable of Georgia, Inc.
NPI 1902232598 · Intellectual Disabilities Intermediate Care Facility · Roswell, GA
Provider details
- NPI number
- 1902232598
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Harry Stern, Chief Executive Officer(770) 664-4347
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1200 Old Ellis Rd
Roswell, GA 30076-3850
Phone: (770) 664-4347
Fax: (770) 740-0650
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Old Ellis Rd
Roswell, GA 30076-3850
Registry dates
- Enumerated
- 2013-09-16
- Last updated
- 2013-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.