NPI | 1295065175 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN ONYIBO MOH Administrator 678-360-6003 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 031-R-0360) |
Enumeration Date | 2009-12-28 |
Last Update Date | 2009-12-28 |