| NPI | 1447426093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MAE THOMPSON Owner Administrator 404-641-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 044017069) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |