| NPI | 1982448916 |
|---|---|
| Former Legal Business Name | INEPENDENT LIVING CARE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN JERNIGAN CEO 912-202-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |