| NPI | 1063652998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI WHITESIDE Director Regulatory, Licensing 770-248-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 70071363) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2019-02-08 |