| NPI | 1417723503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIA C LUCAS SMITH Nurse 404-839-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |