| NPI | 1083880629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMON THOMPSON Owner Administrator 678-908-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: GA 044-01716-9) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |