Hapeville Manor Assisted Living Facility, Inc

NPI 1083982797 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1083982797
Enumeration Date 12/08/2011
Last Updated 12/08/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CARLTON S. CARLTON
Position CEO
Phone (404) 767-5874
Fax (404) 305-9461
Practice Location
601 COLEMAN ST
HAPEVILLE GA, 30354-1041, US
Phone (404) 767-5874
Fax (404) 305-9461
Business Location
3752 PRESCOTT RIDGE CIR
CLARKSTON GA, 30021-1664, US
Phone (404) 767-5874
Fax (404) 305-9461
Toxanomy
Taxonomy Code 320800000X
License State Georgia
License Number 060030111
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According to our database, Hapeville Manor Assisted Living Facility, Inc NPI is 1083982797, taxonomy code is 320800000X and license number is 060030111, license state is located at Georgia. Hapeville Manor Assisted Living Facility, Inc physically located at 601 Coleman St, Hapeville GA, 30354-1041. NPI Number 1033115704 has the healthcare provider type.

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1083982797 NPI number is provided on an as is basis without warranty of any kind. 1083982797 is maintained by the National Plan & Provider Enumeration System. The contents of Hapeville Manor Assisted Living Facility, Inc are for informational purposes only.