| NPI | 1063955052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONNE W POLLARD Director/Manager 229-496-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA PCH008441) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |