| NPI | 1184167538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNITA A REYNOLDS Owner/Administrator 770-899-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2022-09-22 |