| NPI | 1215195052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT C MEADOWS Owner 229-878-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA K536292) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |