| NPI | 1366721946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LAWES Administrator/Owner 770-679-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: GA PCH005620) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |