| NPI | 1164769162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA ADAMS Administrator 770-469-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 067-R-0419) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA 067-R-0419) |
| 251J00000X Nursing Care (Licence: GA 067-R-0419) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |