NPI | 1356153092 |
---|---|
Entity Type | Organization |
Authorized Contact | TYANN HODGES Director 470-435-3997 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 174200000X Meals |
251E00000X Home Health | |
253Z00000X In Home Supportive Care | |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
Enumeration Date | 2025-01-21 |
Last Update Date | 2025-01-21 |