| NPI | 1063778983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ALEXANDER LANE Owner/Member 888-461-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 12018049) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-10-31 |