| NPI | 1285480962 |
|---|---|
| Doing Business As | 123 GA HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DERRICK WHISBY CEO 470-554-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |