| NPI | 1225712961 |
|---|---|
| Former Legal Business Name | NO |
| Entity Type | Organization |
| Authorized Contact | CANDICE LATRE WEBB Owner 404-789-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |