| NPI | 1609010651 |
|---|---|
| Doing Business As | MY PARENTS HOUSE |
| Entity Type | Organization |
| Authorized Contact | CURTIS DAVIS CEO 678-768-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: GA 044-01-841-9) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 044-01-841-9) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |