| NPI | 1235626144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALEE HENRY Owner 678-770-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-09-01 |