| NPI | 1073027520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATRECE JENKINS Executive Director 678-671-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-02-06 |