| NPI | 1295576619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE DORTCH Doo 678-427-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |