NPI | 1508094855 |
---|---|
Entity Type | Organization |
Authorized Contact | STELUTA PERTEA Administrator 770-682-3753 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 067013581) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2009-06-25 |