| NPI | 1871963553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE R LOUIS Owner 404-918-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA ADC000107) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |