| NPI | 1881924892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GAIL DENNARD President 770-469-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA CSW002671) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |