| NPI | 1437372844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TEEMER Administrator 229-430-7971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 747533509A) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |