| NPI | 1104626787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRINO PIERCE Owner 678-832-8065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 302R00000X Health Maintenance Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-26 |