| NPI | 1366191587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL RACHAEL JOHNSON Managing Partner 912-631-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |