Country Heritage I, INC.
Assisted Living Facility in Flowery Branch, GA. Organization (NPI-2).
NPI number1184787699
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184787699
- Entity type
- Organization (NPI-2)
- Legal business name
- Country Heritage I, INC.
- Organization subpart
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 069-02-002-1 | GA | Yes |
Practice location
5755 Conner RdFlowery Branch, GA 30542-2717
Phone 770-967-0324 · Fax 770-967-0324
Mailing address
5769 Conner RdFlowery Branch, GA 30542-2717
Phone 770-965-8998 · Fax 770-965-5612
Authorized official
Nora Ann Walton
President
7709658998
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