| NPI | 1023397205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA YVETTE ELLIS Owner/Adminstrator 770-679-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 122-R-0901) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2016-02-03 |