| NPI | 1104615780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTERREO BROWNER Administrator 706-498-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QV0200X Clinic/Center, VA | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-07 |