| NPI | 1851692008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE L GROOVER Owner 478-781-9387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 011-01-058-1) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |