| NPI | 1154905230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONDRAY LANCE Owner 404-645-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-06 |