NPI | 1790902518 |
---|---|
Doing Business As | SUMMER WILLOW ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | SHANNON BENNETT Owner 912-562-4325 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 000923095A) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |