| NPI | 1134746480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONNA CLAYTON Owner 912-220-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-05-09 |