Organization · Type 2 NPI

Heavenly Homecare Services

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stone Mountain, GA

NPI number 1902229453 Active

Practice location

4980 Villager Ln
Stone Mountain, GA 30083-3698

Call (678) 362-4708 Map

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1902229453

Heavenly Homecare Services's National Provider Identifier is 1902229453, issued on Feb 3, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Stone Mountain, GA. The record was last updated on Feb 3, 2014.