| NPI | 1124353263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA PERDUM Director 404-219-3592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |