| NPI | 1013119403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY M WATKINS CFO 478-237-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 053-02-004-1 GA) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: GA 021-02-003-1 GA) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |