| NPI | 1275869489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ADEDEJI Nurse Residential Provider 770-323-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 044-01-354-1) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |