| NPI | 1265077911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAUNDRIA SHAHEED Administrator 706-664-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |