Organization
HIGHWAY TO HEAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILDRED ANN THOMAS (OWNER)
(229) 873-4674
Entity
Organization
Contact information
Practice address
152 EDGE ROAD, DOERUN, GA 31744
(229) 873-4674
Mailing address
PO BOX 606, DOERUN, GA 31744
(229) 873-4674
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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