| NPI | 1215395900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA L ROBERTSON Owner/License Nurse 770-984-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA LPN0089404) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-18 |