| NPI | 1386013282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY L MAYS-COUCH CEO 470-228-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management (Licence: VA S5792554) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-11-01 |