| NPI | 1578006631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELLISON Owner 706-306-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA Pch008546) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |