| NPI | 1811340581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS ECHOLS Owner 678-790-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 92788) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |