| NPI | 1538426028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA AIGHOBAHI CEO/ Owner 678-612-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA CLA000876) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |