COUNTRY HERITAGE II INC. NPI 1326101759

NPI Information

NPI: 1326101759
Provider Name: COUNTRY HERITAGE II, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5761 CONNER RD
FLOWERY BRANCH, GA
ZIP 30542
Phone: (770) 967-3090
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COUNTRY HERITAGE II, INC. is an assisted living facility in Flowery Branch, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COUNTRY HERITAGE II, INC. NPI is 1326101759. The provider is registered as an organization entity type.

The provider's business location address is:

5761 CONNER RD
FLOWERY BRANCH, GA
ZIP 30542-717
Phone: (770) 967-3090
Fax: (770) 967-3090

The provider's authorized official is Nora Ann Walton .
The authorized official title is President and has the following contact phone number (770) 965-8998.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility			GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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