# BENTLEY SQUARE BY HARBORVIEW LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447951108
- **Authorized official:** ANGELA DENISON RN, LNHA (REGIONAL DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (912) 294-6699

## Contact information

- **Practice address:** 3884 LAVISTA RD, TUCKER, GA 30084-5199
- **Practice address phone:** (770) 938-7260
- **Mailing address:** 3884 LAVISTA RD, TUCKER, GA 30084-5199
- **Mailing address phone:** (770) 938-7260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2023
- **Last updated:** 03/10/2023