| NPI | 1245807676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINA S DAVIS Administrator/Owner 229-854-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-09 |