IndividualActive
Alexis Vaughn
NPI 1174299838 · Assisted Living Facility · Covington, GA
Provider details
- NPI number
- 1174299838
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0030076692 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
625 S Lake Dr
Covington, GA 30016-4795
Phone: (678) 481-1439
Approximate (ZIP-level) locationGet directions
Mailing address
625 S Lake Dr
Covington, GA 30016-4795
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2021-08-20
- Certified
- 2021-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.