| NPI | 1336653955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA JONES CEO 770-990-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 275N00000X Medicare Defined Swing Bed Unit | |
| 283Q00000X Psychiatric Hospital | |
| 310400000X Assisted Living Facility | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-07-20 |