NPI | 1003821745 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA LAWLER Director 706-291-8496 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 251E00000X Home Health (Licence: GA 057R0005) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2025-09-11 |