NPI | 1548683360 |
---|---|
Doing Business As | PEACHTREE VILLAGE |
Entity Type | Organization |
Authorized Contact | CAMERON D GODDARD Ar Manager 601-824-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 780) |
Enumeration Date | 2014-01-30 |
Last Update Date | 2014-01-30 |