| NPI | 1326884511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA EDMOND Co/Mobile Phlebotomist 912-541-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |