| NPI | 1053477877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. CRAIG GORDON CEO 912-231-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 621610) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |