| NPI | 1114696549 |
|---|---|
| Former Legal Business Name | HIS VISION HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | VANESSA HAYNES Owner 404-437-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |