| NPI | 1407202195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DEPRIEST RN Administrator 770-882-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 075-R-1308) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |