Organization

Heavenly Arms Assisted Living Personal Care Home

In Home Supportive Care Agency in Covington, GA(View on Map)

Legal Business Name

Heavenly Arms Assisted Living Personal Care Home

NPI Number

1699013714

NPI Type

Organization

Enumeration Date

01/24/2013

Specialties

(Taxonomies)

Code

253Z00000X
251J00000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia

License Number

BLP-18639

Contact
Information

Purpose

Mailing
Location

Address

11230 HIGHWAY 278 E
11230 HIGHWAY 278 E

City

Covington
Covington

State

GA
GA

Postal Code

30014-1673
30014-1673

Country

US
US

Telephone Number

(678) 625-4216
(678) 625-4216

Authorized Official

Name

Vida Thompson

Title or Position

OWNER/CEO

Telephone Number

(678) 625-4216

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/24/2013

Provider Address

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