| NPI | 1205215811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESCHERICA TIONNA MEDLEY Cna 404-908-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 882062) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |