NPI | 1942058854 |
---|---|
Entity Type | Organization |
Authorized Contact | INDIA NICOLE AYOUB Owner/President 678-768-2859 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2024-05-07 |
Last Update Date | 2024-05-07 |