| NPI | 1184127177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WEST Chief Operating Officer 912-507-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 372600000X Adult Companion | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-01-22 |