| NPI | 1386470490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY TERRY Owner 912-334-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-16 |