| NPI | 1063794154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBISI O ADEWAKUN Administrator 404-285-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 031-R-0745) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA 031-R-0745) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-12-01 |