| NPI | 1548067069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH LIGON Owner 678-634-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |