| NPI | 1306247127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE BROWN Administrator 888-618-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 075-R-1321) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 075-R-1321) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |