| NPI | 1033907720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNESHA GRANT Owner 912-400-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 174200000X Meals | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |