| NPI | 1326307059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE DAVIS CEO 404-895-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 0030000165) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 0030000165) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |