NPI | 1437489762 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSE MARY DAVIDSON Owner 706-253-0131 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 112-R-0521) |
Enumeration Date | 2010-01-08 |
Last Update Date | 2010-01-08 |