| NPI | 1336846195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDOLYN KILGORE Owner 404-721-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |