| NPI | 1386884906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EKWU Administrator 678-735-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |