| NPI | 1962746669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMEKA DILLON Administrator 404-538-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |