| NPI | 1013227123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY H THOMAS Executive Director 478-272-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA 079401) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |