| NPI | 1902142292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE M HILL Owner 706-877-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA #LCB20100001016) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |