NPI | 1821510264 |
---|---|
Doing Business As | SENIORA AND PROGRESSIVE LODGE |
Entity Type | Organization |
Authorized Contact | ELIZABETH MANKO CEO 404-935-8649 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2017-07-07 |
Last Update Date | 2023-10-31 |