| NPI | 1245108919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAH SANOGO Administrator 678-200-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 251S00000X Community/Behavioral Health | |
| 251G00000X Hospice Care, Community Based | |
| 163W00000X Registered Nurse | |
| 252Y00000X Early Intervention Provider Agency | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-25 |