| NPI | 1801146204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIQUA SHANAI HILL Owner/ Manager 404-246-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |