| NPI | 1447532007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PENDLEY Owner/Manager 706-496-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: GA LCB20050032910) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |