| NPI | 1013886779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELIS AIGBADON Owner 678-886-9604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |