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Heavenly Angels Home Of Care Pch, Llc
Physical Disabilities Residential Treatment Facility in Ellenwood, Georgia
NPI 1942561717

Heavenly Angels Home Of Care Pch, Llc is a Physical Disabilities Residential Treatment Facility based in College Park, GA. Heavenly Angels Home Of Care Pch, Llc practices in Ellenwood, GA. The NPI Number for Heavenly Angels Home Of Care Pch, Llc is 1942561717 and holds a License No. PCH006734 (Georgia).

The current practice location address for Heavenly Angels Home Of Care Pch, Llc is 5530 Swanson Rd, Ellenwood, GA and can be reached out via phone at 404-361-8485 and via fax at 404-393-9382.

Location: 5530 Swanson Rd, Ellenwood, GA, 30349-3058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942561717
Provider Name
Heavenly Angels Home Of Care Pch, Llc
Credential
Provider Entity Type
Organization
Address
5530 Swanson Rd, Ellenwood, GA, 30349-3058
Phone Number
404-361-8485
Fax Number
404-393-9382
Provider Enumeration Date
06/07/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
5530 Swanson Rd
City
Ellenwood
State
Georgia
Zip
30294-3857
Phone Number
404-361-8485
Fax Number
404-393-9382
person
Provider Business Mailing Address Details
Address
5530 Swanson Rd
City
Ellenwood
State
Georgia
Zip
30294-3857
Phone Number
404-361-8485
Fax Number
404-393-9382
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
PCH006734 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
PCH006734 (Georgia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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