| NPI | 1508102005 |
|---|---|
| Other Name | GHFTD |
| Entity Type | Organization |
| Authorized Contact | ASHLEY T JOSEPH Owner/Administrator 678-508-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |