Puretouch Wellness Haven,Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

060-01-362-1 Issued in GA

Legal business name

PURETOUCH WELLNESS HAVEN,INC

Practice address

110 Chandler Way
Fayetteville, GA 30215-2122

Phone

(404) 763-3792

NPI assigned

Aug 11, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Volicia Scott

Title

Administrator

Phone

(678) 457-4249

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1598070708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 DEERFIELD CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493768",
            "telephone_number": "404-763-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHANDLER WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152122",
            "telephone_number": "404-763-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURETOUCH WELLNESS HAVEN,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "VOLICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-457-4249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "060-01-362-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.