| NPI | 1023478005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE COLLINS Administrator Director 404-490-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 060-R-1357) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA 060-R-1357) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-10-11 |