| NPI | 1063184737 |
|---|---|
| Doing Business As | MODIFY HEALTH |
| Entity Type | Organization |
| Authorized Contact | GEORGE PRATT CEO 770-519-5503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 174200000X | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-11-22 |