| NPI | 1134706153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWAN DANIELS Administrator 470-306-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |