Organization
HAYS HOUSE LLC
Active
Other names
Highland Circle Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRIE LYNN WALLACE-CHAMBLISS (ADMINISTRATOR)
(770) 679-4235
Entity
Organization
Contact information
Practice address
1028 HIGHLAND CIR SE, CONYERS, GA 30012-5414
(770) 679-4235
(770) 679-4238
Mailing address
3731 WAVESPRAY CT, GAINESVILLE, GA 30506-1079
(678) 943-1048
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH009024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCH009024
HEALTHCARE FACILITY REGULATION DIVISION
GA
Enumeration date
10/24/2013
Last updated
10/24/2013
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