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Organization
HERITAGE INN RETIREMENT CENTER LLC
Active
Organization
HERITAGE INN RETIREMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWEN HARRIS (ADMINISTRATOR)
(229) 723-8099
Entity
Organization
Contact information
Practice address
14901 RIVER ST, BLAKELY, GA 39823-2420
(229) 723-8099
(229) 723-6438
Mailing address
14901 RIVER ST, BLAKELY, GA 39823-2420
(229) 723-8099
(229) 723-6438
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
310400000X
GA
Other
Enumeration date
03/16/2007
Last updated
06/18/2008
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