| NPI | 1770950966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNEY WRIGHT Owner 678-523-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PT002310) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2024-02-01 |