| NPI | 1184933186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTSE OYAREBU Director 770-477-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 031-01-132-1) |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2010-09-25 |