| NPI | 1407296460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA KAY BYRDEN Social Worker 229-352-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2013-07-04 |