| NPI | 1063581528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE MAE WARE Owner President 229-436-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 047-R-0014) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |