| NPI | 1265322978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO SVP Financial Services 770-630-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-04 |