NPI | 1861937443 |
---|---|
Entity Type | Organization |
Authorized Contact | EULANDA LARA WALLER Administrator 478-318-2313 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA ADC000150) |
Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: GA ADC000150) |
Enumeration Date | 2017-01-05 |
Last Update Date | 2017-08-21 |