| NPI | 1255976007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE SIMON Owner 678-759-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-18 |