| NPI | 1184161309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED SOMBOUN YIN CEO 678-861-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 067-R-1470) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 067-R-1470) |
| 253Z00000X In Home Supportive Care (Licence: GA 067-R-1470) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2021-08-03 |