| NPI | 1265862080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROOVENS PIERRE LOUIS Administrator 404-707-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12435) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |