| NPI | 1245731520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELETHIA TERRELL Owner 706-394-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC 180212-1116552) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |