| NPI | 1407091515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERINA V MASON Owner 678-923-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 2009004362) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2009-09-10 |