| NPI | 1134516339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESHA D'ANNA NICHOLE MORRIS CEO 706-833-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |