NPI | 1396178711 |
---|---|
Doing Business As | TRUSTED SOURCE HOME CARE |
Entity Type | Organization |
Authorized Contact | WILLIAM SUTHERLAND Administrator 770-609-6477 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 060-R-0971) |
Enumeration Date | 2013-08-21 |
Last Update Date | 2013-08-21 |