| NPI | 1902108558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLYN KIRK Owner 404-578-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 2010008278) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |