Individual provider · Type 1 NPI
Alexis Lillie Vaughn
Assisted Living Facility · Covington, GA
NPI number
1174299838
Active
Practice location
625 S Lake Dr
Covington, GA 30016-4795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 0030076692 (GA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1174299838
Alexis Lillie Vaughn's National Provider Identifier is 1174299838, issued on Aug 20, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Covington, GA. The record was last updated on Aug 20, 2021.