Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS LILLIE VAUGHN
Active Sole ProprietorALEXIS LILLIE VAUGHN is a Assisted Living Facility healthcare provider located in COVINGTON, Georgia. NPI 1174299838 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · COVINGTON, GA
Registration Details
- NPI Number
- 1174299838
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2021 (5.0041476494207 yrs)
- Last Updated
- Aug 20, 2021
- License
-
0030076692 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
625 S LAKE DRCOVINGTON, GA, 300164795Browse GA providers · Browse ZIP 30016
- Phone
- 6784811439
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.