Highland Rivers Lighthouse | |
1709 Dean Ave Se Rome GA 30161-7105 | |
(706) 802-5870 | |
(706) 802-0654 |
Full Name | Highland Rivers Lighthouse |
---|---|
Speciality | Community/behavioral Health |
Location | 1709 Dean Ave Se, Rome, Georgia |
Authorized Official Name and Position | Frank Aaron (CEO) |
Authorized Official Contact | 7062705000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Highland Rivers Lighthouse 1620 Hickory St Suite 406 Dalton GA 30720-2312 Ph: (706) 270-5002 | Highland Rivers Lighthouse 1709 Dean Ave Se Rome GA 30161-7105 Ph: (706) 802-5870 |
NPI Number | 1285798041 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 06/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285798041 | NPI | - | NPPES |
975392532G | Medicaid | GA | |
1447256243 | Other | GA | ORGANIZATION MASTER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Georgia) | Primary |
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