| NPI | 1003299603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA HENDERSON President 404-693-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12575) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |