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Heavenly Assisted Care, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jonesboro, Georgia
NPI 1518297175

Heavenly Assisted Care, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Conyers, GA. Heavenly Assisted Care, Llc practices in Jonesboro, GA. The NPI Number for Heavenly Assisted Care, Llc is 1518297175 and holds a License No. DN012304 (Georgia).

The current practice location address for Heavenly Assisted Care, Llc is 10555 Aspenwood Ct, Jonesboro, GA and can be reached out via phone at 404-713-4982 and via fax at 678-413-2491.

Location: 10555 Aspenwood Ct, Jonesboro, GA, 30012-8836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518297175
Provider Name
Heavenly Assisted Care, Llc
Credential
Provider Entity Type
Organization
Address
10555 Aspenwood Ct, Jonesboro, GA, 30012-8836
Phone Number
404-713-4982
Fax Number
678-413-2491
Provider Enumeration Date
01/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
481264351A 05 GA
institution
Provider Business Practice Location Address Details
Address
10555 Aspenwood Ct
City
Jonesboro
State
Georgia
Zip
30238
Phone Number
404-713-4982
Fax Number
678-413-2491
person
Provider Business Mailing Address Details
Address
10555 Aspenwood Ct
City
Jonesboro
State
Georgia
Zip
30238
Phone Number
404-713-4982
Fax Number
678-413-2491
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
DN012304 (Georgia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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