| NPI | 1184304321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEQUITA MICHELLE WIGGINS CEO 706-315-7863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 282E00000X Long Term Care Hospital | |
| 310400000X Assisted Living Facility | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 314000000X Skilled Nursing Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-24 |