| NPI | 1124266176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA ROGERS Owner / Director 770-828-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WI 456-0000421960-02) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA OOC009375) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2014-01-16 |