| NPI | 1316785694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESDYDA DORIVAL GASSANT Owner/Manager 678-330-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |