| NPI | 1417208034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LORRAINE HESTER CEO/Administrator 770-666-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |