| NPI | 1326830514 |
|---|---|
| Doing Business As | ADULT ACTIVITY CENTER |
| Entity Type | Organization |
| Authorized Contact | TYRONE LANE Owner 678-677-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |