| NPI | 1336927227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BETHANY GIBBS Executive Director 470-879-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |