| NPI | 1396870382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE W. BRAGG CEO 912-754-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 372600000X Adult Companion (Licence: GA 051R0002) |
| 3747A0650X Technician, Attendant Care Provider (Licence: GA 051R0002) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: GA 051R0002) | |
| 376K00000X Nurse's Aide (Licence: 051R0002) | |
| 251E00000X Home Health | |
| 251X00000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2015-10-14 |