| NPI | 1285036160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA U ODOEMENE Administrator 770-744-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 033R1137) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA 033-R-1137) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |