| NPI | 1124871819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYNELL ROBINSON Owner 770-769-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 251S00000X |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |