| NPI | 1013223098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RENEE BRAZIL Director 770-978-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 067011511) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-10-21 |