| NPI | 1740479864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE LYNN HOLLIDAY Nursing Consultant/Executive Direct 404-680-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA RN168077) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |