| NPI | 1184210593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA STEPHENSON Administrator 470-217-8445 |
| 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 | 2024-09-29 |