| NPI | 1730580374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE L LAMOTHE Owner/Manager 404-396-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PCH008384) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |