| NPI | 1629216916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOEL MAY Owner 706-598-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 097-02-007-1) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: GA 097-02-007-1) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: GA 097-02-007-1) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 097-02-007-1) | |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |