NPI | 1437035615 |
---|---|
Doing Business As | A LIVING LEGACY |
Entity Type | Organization |
Authorized Contact | MARCIA WILSON Owner 706-289-1107 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 251B00000X Case Management |
261QC1500X Clinic/Center, Community Health | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2025-08-13 |
Last Update Date | 2025-08-13 |