| NPI | 1366050320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEEKAH MONIQUE JOHNSON Administrator/Owner 912-677-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |