| NPI | 1457517880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SHAVER CEO 404-226-2706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |