| NPI | 1578261921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA SMITH CEO/Administrator 678-829-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |