| NPI | 1043828932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDA COSTON Healthcare Administrator 404-800-5550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 163WC0400X Registered Nurse, Case Management | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 291U00000X Clinical Medical Laboratory | |
| 347C00000X Private Vehicle | |
| 374700000X Technician | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |