| NPI | 1649420761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA HOWELL President 404-771-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |