| NPI | 1922433218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA LATOY COLLIER Cna 678-542-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA 311za0620x) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |