| NPI | 1063241412 |
|---|---|
| Doing Business As | FIRSTLIGHT HOME CARE OF VININGS |
| Entity Type | Organization |
| Authorized Contact | WALTER DIXON HICKMAN President And CEO 678-877-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-11-11 |