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 |