| NPI | 1114382967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY MAGDALENE BURNSIDE Owner/Administrator 678-677-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 033-r-1359) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2019-08-15 |