| NPI | 1679050454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALDINE GENEVA LOVE Owner 912-436-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: GA CN0012346961) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-12-17 |