| NPI | 1063712487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYVIS A RODGERS Director 678-342-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: GA RN 188675) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: GA RN 188675) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |