| NPI | 1306105812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA LETICE WILSON Director 678-499-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA PCH006452) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |