| NPI | 1710683396 |
|---|---|
| Doing Business As | WILLIE B GARDNER CARE HOME INC. |
| Entity Type | Organization |
| Authorized Contact | SHAURINA S. DUDLEY CEO 678-663-9674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |