| NPI | 1396409918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE DEVON STEWART Administrator Owner 404-759-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-01-26 |