Organization
HOPE HAVEN OF NORTHEAST GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WALKER (EXECUTIVE DIRECTOR)
(706) 548-4361
Entity
Organization
Contact information
Practice address
795 NEWTON BRIDGE RD, ATHENS, GA 30607-1303
(706) 548-4361
(706) 548-9602
Mailing address
795 NEWTON BRIDGE RD, ATHENS, GA 30607-1303
(706) 548-4361
(706) 548-9602
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00658754C
—
GA
Enumeration date
01/29/2007
Last updated
08/22/2020
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