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HOUSE OF GRACE PERSONAL CARE HOME NPI 1639368129


NPI Information

NPI: 1639368129
Provider Name: HOUSE OF GRACE PERSONAL CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
80 JENNA LN
COVINGTON, GA
ZIP 30016
Phone: (404) 549-0877
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HOUSE OF GRACE PERSONAL CARE HOME is an adult care home custodial care facility in Covington, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. HOUSE OF GRACE PERSONAL CARE HOME NPI is 1639368129. The provider is registered as an organization entity type.

The provider's business location address is:

80 JENNA LN
COVINGTON, GA
ZIP 30016-645
Phone: (404) 549-0877

The provider's authorized official is Jean P Stfleur .
The authorized official title is Administrator and has the following contact phone number (404) 549-0877.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 10/19/2007.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeGEORGIAYes

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

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