| NPI | 1245852243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATAI SERVICES MOHAMMED Executive Director 770-912-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |