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NPI Code Detail

MEDICARE: COMPASSIONATE HEARTS ASSISTED LIVING, INC.

MEDICARE: COMPASSIONATE HEARTS ASSISTED LIVING, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility80872GA

General Provider Information

NPI Number : 1720319056
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE HEARTS ASSISTED LIVING, INC.
Provider Business Mailing Address
First Line : 4067 STEAM MILL RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-4819
Country : US
Telephone Number : 706-478-5040
Fax Number :
Provider Business Practice Location Address
First Line : 4067 STEAM MILL RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-4819
Country : US
Telephone Number : 706-478-5040
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. GERALD D PATTERSON
Credential :
Telephone Number : 706-231-9863
Provider Enumeration Date : 01/27/2010
Last Update Date : 01/27/2010

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Directions to “COMPASSIONATE HEARTS ASSISTED LIVING, INC. ” Practice Location

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