| NPI | 1245532985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI ALYCE BROWN Administrator/CEO 478-747-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 011-01-114-1) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: GA 011-01-114-1) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |