| NPI | 1396173159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABINA GRESHAM Director/Owner 706-549-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GA 109-R-0323) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 109-R-0323) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |