Organization Name: | FROM THE HEART ENTERPRISES, INC |
NPI Number: | 1699138669 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA RANDALL (EX. DIRECTORY) |
Mailing Address: | 2188 Riverbrook Rd Decatur |
State: | GA US |
Postal Code: | 300352924 |
Phone Number: | 7709125664 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 00139008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |