| NPI | 1265185201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TERRELL Owner 678-599-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-06-22 |