| NPI | 1124598503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDICE WILLIAMS Manager 678-887-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 3747A0650X Technician Attendant Care Provider | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |