Organization
HEAVENLY HANDS OF AUGUSTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA J BURNS (OWNER)
(706) 306-0074
Entity
Organization
Contact information
Practice address
3365 TANGLEWOOD DRIVE, AUGUSTA, GA 30909-3365
(706) 306-0074
Mailing address
3365 TANGLEWOOD DRIVE, AUGUSTA, GA 30909
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
PCH007134
GA
311ZA0620X
Adult Care Home Facility
Primary
LCB2011001155
GA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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