| NPI | 1902346067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ANN CROCKETT CEO 404-719-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 314000000X Skilled Nursing Facility | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-24 |