| NPI | 1003368036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARREN WOOLERY Administrator 678-308-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2022-05-16 |