| NPI | 1306386750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELDA PETERS Administrator/Lab Director 229-894-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 047-R-1538) |
| Additional Taxonomies | 251E00000X Home Health |
| 261Q00000X Clinic/Center | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2023-11-10 |