| NPI | 1174681944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKELA RENEE LEVETT Owner 678-923-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 044016379) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |