Country Heritage I, Inc.
Organization Active NPI Assisted Living Facility · Flowery Branch, GA
NPI 1184787699 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1184787699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- COUNTRY HERITAGE I, INC.
- Practice address
- 5755 Conner Rd
Flowery Branch, GA 30542-2717 - Phone
- (770) 967-0324
- Fax
- (770) 967-0324
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nora Ann Walton
- Title
- President
- Phone
- (770) 965-8998
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Country Heritage I Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | GA | Yes |
Addresses
Primary practice location
5755 Conner Rd
Flowery Branch, GA 30542-2717
Mailing address
5769 Conner Rd
Flowery Branch, GA 30542-2717
Phone (770) 965-8998
Other providers in Flowery Branch, GA
- Katrina Co
- Christopher Coles
- Haley Melissa Collins
- Laurie Kathleen Collins
- Companion Connections
- Country Heritage II, Inc.
- April Stapler Crisp
- Thomas William Crumbley
- Sandra Dabrowski
- Kelly Dahlke
All providers in Flowery Branch, GA · Assisted Living 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 Aug 22, 2020. 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.