NPI | 1467868620 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT STRICKLAND Owner 706-788-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 095-01-022-1) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2014-07-09 |