| NPI | 1174899462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDUBUISI GODWIN OCHUBA Program Administrator 770-693-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 110R0673) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |