| NPI | 1336304799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GAIL DENNARD P:Resident 770-469-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |