| NPI | 1396106209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEEBLY CECELIA SUNGBEH Executive Director 404-432-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 067R1501) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |