| NPI | 1134426828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD COLBERT Owner 678-369-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 060-R-0648) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |