NPI | 1104172568 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE HARRIGAN Administrator 912-323-8552 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 025013271I) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2012-08-02 |