Healthcare Provider Details

I. General information

NPI: 1033237698
Provider Name (Legal Business Name): NEW HORIZONS MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 BELLEVUE AVE
DUBLIN GA
31021-4849
US

IV. Provider business mailing address

PO BOX 2028
BUTLER GA
31006-2028
US

V. Phone/Fax

Practice location:
  • Phone: 478-275-2015
  • Fax: 478-275-2057
Mailing address:
  • Phone: 478-862-9051
  • Fax: 478-862-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateGA

VIII. Authorized Official

Name: SOPHENIA BETSY BYRD
Title or Position: PRESIDENT
Credential:
Phone: 478-862-9051