| NPI | 1831316439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN BENJAMIN SHINES Owner 229-436-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 047020691) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |