| NPI | 1861904971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONNIA T PAZ Owner 706-870-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA LCB20170001071) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |