| NPI | 1356874457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY JORDAN Owner/Admin 470-429-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 067-01-498-9) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |