| NPI | 1073851333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKITA RANDLE-LEWIS Administator 229-573-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA AB15-000411) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA AB13-000011) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2020-08-04 |