| NPI | 1205348349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SHAUNDREA STEVENS Owner 229-395-2987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA AB13-000640) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |