| NPI | 1639368129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN P STFLEUR Administrator 404-549-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 107-01-064-9) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |