| NPI | 1104126929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI LYNN KIMMES Owner 678-933-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 058R0782) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |