Organization
HEAVENLY ARMS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA A THOMPSON PN (OWNER)
(678) 342-7537
Entity
Organization
Contact information
Practice address
11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
(678) 342-7537
Mailing address
11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
(678) 342-7537
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
PCH004274
GA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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