| NPI | 1184174161 |
|---|---|
| Other Name | 1SOURCE HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | COLLIN ADU Clinical Director 678-250-4035 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 12002969) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |