| NPI | 1902030653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA FOSTER-FRITSCH Facility Administrator 404-574-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |