| NPI | 1104376631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGINNA LOCKETT Administrator 678-948-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 060-R-1676) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |