| NPI | 1851692545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SHANKS Owner 706-798-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 121-01-459-1) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |