| NPI | 1902197650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NMN BARLOW Administrator 478-452-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: GA 005-R-0386) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |