| NPI | 1285099986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO VP Of Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2017-02-02 |