| NPI | 1265005573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE M JACKSON-WEATHERS Owner 470-965-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-02-10 |