NPI 1083982797

Hapeville Manor Assisted Living Facility, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Hapeville, GA

Practice location

Address: 601 Coleman St, Hapeville, GA 30354-1041
Phone: (404) 767-5874
Fax: (404) 305-9461
Mailing address: 3752 Prescott Ridge Cir, Clarkston, GA 30021-1664

Authorised official

Name: Carlton S. Watt
Title: Ceo
Phone: (404) 767-5874

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 060030111 (GA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence 060030111 (GA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Georgia →

Registry record

NPI: 1083982797
Entity type: Organization
NPI issued: 8 Dec 2011
Record last updated: 8 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.