# HEAVENLY ARMS ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275898363
- **Authorized official:** VIDA A THOMPSON PN (OWNER)
- **Authorized official phone:** (678) 342-7537

## Contact information

- **Practice address:** 11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
- **Practice address phone:** (678) 342-7537
- **Mailing address:** 11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
- **Mailing address phone:** (678) 342-7537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | PCH004274 | GA | Yes |

## Other

- **Enumeration date:** 07/05/2012
- **Last updated:** 07/05/2012