| NPI | 1255615993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D JACK-WUNDER Owner 770-887-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 058-R-008) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2025-09-02 |