| NPI | 1437973021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE COONEY Manager 470-554-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |