| NPI | 1164829453 |
|---|---|
| Doing Business As | PHOENIX LIVING |
| Entity Type | Organization |
| Authorized Contact | LISA MARLEEN REISMAN Owner 770-551-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA CLA002159) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |