| NPI | 1083966428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE CASEY Owner 678-451-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 031011731) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |