| NPI | 1164622387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL P SPAIN Administrator 478-788-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 000455793A) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |