| NPI | 1366137341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESSA J JONES Director 678-755-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-05-02 |