| NPI | 1003449158 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MOSTAFA KAMAL MAHAMUD CEO 678-396-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 305S00000X Point of Service | |
| 315D00000X Hospice, Inpatient | |
| 332U00000X Home Delivered Meals | |
| 344600000X Taxi | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-06-30 |