| NPI | 1134288004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER TINKHAM Secretary 706-353-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 097020051) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-06-27 |