NPI | 1760615280 |
---|---|
Doing Business As | 1ST CHOICE TRANSITIONAL LIVING FACILITY |
Entity Type | Organization |
Authorized Contact | PHILANDIS WIMBUSH Administrator 706-394-8093 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: GA 121013181) |
Enumeration Date | 2009-09-01 |
Last Update Date | 2009-09-01 |