| NPI | 1932789781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA RICHARDSON Owner 478-279-3286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-04-08 |