| NPI | 1033708763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PUGH Owner/Administrator 678-251-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-01-17 |