| NPI | 1851622724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIUS K RADFORD Chairman Of Board 404-434-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 17053233341048) |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2010-01-16 |