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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