| NPI | 1033635503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE JOSEPH CEO 770-990-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |