| NPI | 1861558520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY VINCENT Owner 706-796-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 121020591) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |