| NPI | 1477650752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GARY CRUMP President 478-783-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 116020031) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |