Organization
HEAVENLY ARMS ASSISTED LIVING PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA THOMPSON (OWNER/CEO)
(678) 625-4216
Entity
Organization
Contact information
Practice address
11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
(678) 625-4216
(678) 625-7793
Mailing address
11230 HIGHWAY 278 E, COVINGTON, GA 30014-1673
(678) 625-4216
(678) 625-7793
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
BLP-18639
GA
253Z00000X
In Home Supportive Care Agency
Primary
BLP-18639
GA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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