| NPI | 1154764785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENID PARKER Administrator 678-499-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 00066484) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2013-04-13 |