# HEAVENLY ARMS ASSISTED LIVING PERSONAL CARE HOME

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

## Provider details

- **NPI number:** 1699013714
- **Authorized official:** VIDA THOMPSON (OWNER/CEO)
- **Authorized official phone:** (678) 625-4216

## Contact information

- **Practice address:** 11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
- **Practice address phone:** (678) 625-4216
- **Practice address fax:** (678) 625-7793
- **Mailing address:** 11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
- **Mailing address phone:** (678) 625-4216
- **Mailing address fax:** (678) 625-7793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | BLP-18639 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | BLP-18639 | GA | Yes |

## Other

- **Enumeration date:** 01/24/2013
- **Last updated:** 01/24/2013