| NPI | 1275088064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO VP Of Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |