| NPI | 1972804060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DONNER Director 706-289-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2011-01-23 |