| NPI | 1104058726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A BOSTIC Administrator 478-984-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 087 - R - 0528) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |