| NPI | 1255617916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY F WIMGERLY Owner 478-743-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 084-R-0412) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 084-R-0412) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |