| NPI | 1407044084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DEMETRIUS STRAIN Administrator 229-881-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 047-R-0365) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |