| NPI | 1144772435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKIA FULLER Owner 470-242-5682 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 0440430H) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |