| NPI | 1114578143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORTNEY LAKILY BOLTON Owner 678-879-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |