| NPI | 1467732875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA ARIEL TURNER Owner/Administrator 229-246-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PCH001388) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |