| NPI | 1114045598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER MOORE Executive Director 478-397-8354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10751) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |