Hapeville Manor Assisted Living Facility, Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hapeville, GA
NPI 1083982797 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1083982797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 060030111 (GA)
- Legal business name
- HAPEVILLE MANOR ASSISTED LIVING FACILITY, INC
- Practice address
- 601 Coleman St
Hapeville, GA 30354-1041 - Phone
- (404) 767-5874
- Fax
- (404) 305-9461
- NPI assigned
- Dec 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Carlton S. Watt
- Title
- Ceo
- Phone
- (404) 767-5874
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 060030111 | GA | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 060030111 | GA | Yes |
Addresses
Primary practice location
601 Coleman St
Hapeville, GA 30354-1041
Mailing address
3752 Prescott Ridge Cir
Clarkston, GA 30021-1664
Phone (404) 767-5874
Other providers in Hapeville, GA
- Samuel Gibson
- James Edward Golden II
- Trevis Gullatt
- Hapeville Dialysis Center LLC
- Hapeville Health Center
- Harandi, Harandi, Spelios and Associates Hapeville LLC
- Ali Harandifassih
- Catherine M Hardie
- Shonteh L Henderson
- Christopher Hoang
All providers in Hapeville, GA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.