| NPI | 1285390211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAVIS Credentialing Specialists 912-373-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2025-06-20 |