| NPI | 1336405257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMISHEA TILLMAN Owner 404-493-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |