Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Lillie Vaughn

Individual provider Assisted Living Facility · NPI 1174299838

Alexis Lillie Vaughn is an Assisted Living Facility in Covington, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

625 S Lake Dr
Covington, GA 30016-4795
Phone: (678) 481-1439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 0030076692 (GA)

Record details

NPI number1174299838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

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