| NPI | 1306475942 |
|---|---|
| Former Legal Business Name | OCTAVIA RIVERS |
| Entity Type | Organization |
| Authorized Contact | OCTAVIA RIVERS Owner 912-436-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |