| NPI | 1447459334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DARK VP 770-395-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL LICENSE PENDING) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |