| NPI | 1073859666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE OLIVIA NWAGBARA Owner 404-245-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |