NPI | 1184210593 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLA MICHELLE STEPHENSON CEO 470-545-0860 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251F00000X Home Infusion |
251T00000X PACE Provider Organization | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2020-12-19 |
Last Update Date | 2022-12-21 |