| NPI | 1770986622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D WALKER Owner 478-274-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PCH008494) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |