| NPI | 1235562786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GAY CEO 770-882-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 13-00030126) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |