Organization
HEART OF GOLD DEVELOPMENTAL AND DISABILITIES HEALTH CARE SERVICES,INC
Active
Organization
HEART OF GOLD DEVELOPMENTAL AND DISABILITIES HEALTH CARE SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVADA PORTIER LPN (OWNER)
(706) 577-1687
Entity
Organization
Contact information
Practice address
717 PALMETTO AVE, COLUMBUS, GA 31906-4025
(706) 505-1116
(706) 505-1116
Mailing address
9145 GARRETT LAKE DR, MIDLAND, GA 31820-4391
(706) 577-1687
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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