Organization
COUNTRY HERITAGE I, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORA ANN WALTON (PRESIDENT)
(770) 965-8998
Entity
Organization
Contact information
Practice address
5755 CONNER RD, FLOWERY BRANCH, GA 30542-2717
(770) 967-0324
(770) 967-0324
Mailing address
5769 CONNER RD, FLOWERY BRANCH, GA 30542-2717
(770) 965-8998
(770) 965-5612
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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