National Provider Identifier Database

HERITAGE HEALTHCARE
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

HERITAGE HEALTHCARE
3829 FLOYD RD
AUSTELL, GA30106-8534
Phone: 770-573-2592
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for HERITAGE HEALTHCARE

NPI Number 1528371663
Legal business name
LBN
HERITAGE HEALTHCARE
Authorized official SHONDRE CLEMONS - (SPEECH PATHOLOGIST)
Entity Organization
Organization subpart No
Enumeration date 07/19/2010
Last updated 07/19/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: SLP006951

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for HERITAGE HEALTHCARE

There are currently no reviews for HERITAGE HEALTHCARE


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