| NPI | 1265235733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRISHA MCCAULEY Owner 678-591-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |