| NPI | 1417255795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANNETT HERNANDEZ Administrator 770-210-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: GA 031-R-0581) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA 031-R-0581) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |