Heritage Inn Retirement Center LLC
Organization Active NPI Assisted Living Facility · Blakely, GA
NPI 1659495703 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1659495703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 310400000X (GA)
- Legal business name
- HERITAGE INN RETIREMENT CENTER LLC
- Practice address
- 14901 River St
Blakely, GA 39823-2420 - Phone
- (229) 723-8099
- Fax
- (229) 723-6438
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Gwen Harris
- Title
- Administrator
- Phone
- (229) 723-8099
Practitioners 1
National Provider Directory
Locations
14901 River St
Blakely, GA 39823
Phone (229) 723-8099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 310400000X | GA | Yes |
Addresses
Primary practice location
14901 River St
Blakely, GA 39823-2420
Mailing address
14901 River St
Blakely, GA 39823-2420
Phone (229) 723-8099
Other providers in Blakely, GA
- Georgia CVS Pharmacy LLC
- Georgia Pines Community Service Board
- Carlye Alderman Giannars
- Gwen Harris
- Shirley R Harris
- E Alex Howell Jr.
- J.H. Harveys Co.
- Josephine Johnson
- Sydney Thomas Johnson
- Valerie Rebecca Jones
All providers in Blakely, 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 Jun 18, 2008. 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.