| NPI | 1851441117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENI ROBERTS Owner 912-529-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 140-02-002-1) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |