NPI | 1356724496 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE DENISE TOWN Administrator 706-202-0277 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 029-R-1403) |
Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 029-R-1403) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |