| NPI | 1245078823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE IPONDO AKUMBY Lpn 404-985-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |