| NPI | 1417644436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEL CRONIN Owner 770-733-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 310400000X Assisted Living Facility | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-01-05 |