| NPI | 1013147180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL ANGELA GILGEOURS Administrator 770-996-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 031R0239) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 031R0239) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |