Hapeville Manor Assisted Living Facility, INC

NPI #1083982797 in Hapeville, Georgia

Provider Information

NPI Number: 1083982797
Entity Type: Organization
Organization Name: Hapeville Manor Assisted Living Facility, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 8, 2011
Last Updated: Dec 8, 2011

Practice Location

Address: 601 COLEMAN ST
City: Hapeville
State: Georgia
ZIP Code: 30354-1041
Phone: (404) 767-5874

Authorized Official

Name: MR. CARLTON S. WATT
Title: CEO
Phone: (404) 767-5874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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