| NPI | 1396040101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY R METCALF Administrator 229-393-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 136-01-099-1) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |