| NPI | 1184584104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRINO PIERCE Owner 678-832-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 251F00000X Home Infusion | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |