NPI | 1790825750 |
---|---|
Doing Business As | BEVEVOLENT PCH INC. |
Entity Type | Organization |
Authorized Contact | WILLIE PAUL DORSEY Director 706-653-2430 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: GA 232275) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2013-06-11 |