| NPI | 1053121590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA N FORD Owner 678-469-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 251J00000X Nursing Care | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |