| NPI | 1104118108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABOSEDE ADETUTU OSHINUBI Director 770-736-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: GA 756428113A) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |