| NPI | 1407668122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLLE BROCK Owner 770-842-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |