Provider Demographics
NPI:1568604908
Name:THE ARMOUR HOUSE
Entity Type:Organization
Organization Name:THE ARMOUR HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:THORNTON
Authorized Official - Last Name:ARMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-285-2666
Mailing Address - Street 1:5084 DANBURG RD
Mailing Address - Street 2:
Mailing Address - City:TIGNALL
Mailing Address - State:GA
Mailing Address - Zip Code:30668-3502
Mailing Address - Country:US
Mailing Address - Phone:706-285-2666
Mailing Address - Fax:706-743-7477
Practice Address - Street 1:5084 DANBURG RD
Practice Address - Street 2:
Practice Address - City:TIGNALL
Practice Address - State:GA
Practice Address - Zip Code:30668-3502
Practice Address - Country:US
Practice Address - Phone:706-285-2666
Practice Address - Fax:706-743-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA516055471CMedicaid