NPI | 1912362328 |
---|---|
Entity Type | Organization |
Authorized Contact | LIZA MAE HUNDLEY CEO/ Manger 229-494-9174 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PCH008499) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |