| NPI | 1346597572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG HAN LEE Owner 678-371-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 067-01-392-1) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |