| NPI | 1962122531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHELDRA MAYS Owner 678-612-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |