| NPI | 1306544275 |
|---|---|
| Other Name | REGISTERED WITH STATE OF GEORGIA |
| Entity Type | Organization |
| Authorized Contact | TAMARA C. DILLARD Administrator 678-206-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-07-18 |