| NPI | 1316431547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH CHINYERE MONTGOMERY Owner 469-583-9678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2021-04-24 |