Provider Demographics
NPI:1639465875
Name:H AND H HOME STYLE LIVING
Entity Type:Organization
Organization Name:H AND H HOME STYLE LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORAINE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:HARRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-226-8357
Mailing Address - Street 1:4282 ABRAM DR
Mailing Address - Street 2:
Mailing Address - City:CONLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30288-1741
Mailing Address - Country:US
Mailing Address - Phone:404-226-8357
Mailing Address - Fax:
Practice Address - Street 1:22019 ROBINS RD
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-8792
Practice Address - Country:US
Practice Address - Phone:404-226-8357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility