| NPI | 1407194814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN S PRESCOTT Owner 912-996-4905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 251E00000X Home Health | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-07-10 |