| NPI | 1366783912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRBLE FORETIA Administrator 404-822-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2016-04-18 |