| NPI | 1073864120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIC ANTONIO BENNETT Owner 770-347-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 075-R-1086) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |