| NPI | 1538382791 |
|---|---|
| Doing Business As | CHURCH STREET MANOR |
| Entity Type | Organization |
| Authorized Contact | TAMMY M WATKINS CFO 478-237-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 053-02-004-1) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |