| NPI | 1871100412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUESDAY PAYNE Administrator/CEO 678-817-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2024-05-07 |