| NPI | 1235336207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SUZANNE DEVARGAS Owner 770-612-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 033-R-0288) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |