| NPI | 1164178737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA E RUDDER Owner 770-649-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |