| NPI | 1407307838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY VICTOR JOHNSON Administrator 678-887-9315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 067r1445) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |