| NPI | 1598070708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VOLICIA SCOTT Administrator 678-457-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 060-01-362-1) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2011-07-07 |