| NPI | 1336695634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M LACY Member 678-230-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 060-R--1609) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-05-03 |