| NPI | 1104573625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ALEXANDER MABRY CEO/Owner/Provider 678-471-6983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2023-06-23 |